Syllabus

Basic B.Sc. Nursing

VINAYAKA MISSION’S
RESEARCH FOUNDATION
(DEEMED TO BE UNIVERSITY)
(Declared under section 3 of the UGC Act, 1956)
Contents
S.No. Content Page No.

1. Philosophy 1

2. Aim and Objective 2

3. Admission requirements 3

4. Course Duration 4

5. Scheme of Examination 7

6. English 10

7. Anatomy 11

8. Physiology 14

9. Nutrition 17

10. Biochemistry 20

11. Nursing Foundations 23

12. Nursing Foundations – Practical 34

13. Psychology 39

14. Microbiology 42

15. Introduction to Computers 44

16. Sociology 45

17. Pharmacology 48

Pathology & Genetics

18.
 Section A – Pathology 52

 Section B – Genetics 55
19. Medical Surgical Nursing (Adult Including Geriatrics) – I 57

20. Medical Surgical Nursing (Adult Including Geriatrics) – I Practical 67

21. Community Health Nursing – I 71

22. Community Health Nursing – I Practical 75

23. Communication & Educational Technology 76

24. Medical Surgical Nursing (Adult Including Geriatrics) – II 79

25. Medical Surgical Nursing (Adult & Geriatrics) – II Practical 88

26. Child Health Nursing 91

27. Child Health Nursing - Practical 94

28. Mental Health Nursing 96

29. Mental Health Nursing - Practical 103

30. Nursing Research & Statistics 105

31. Midwifery & Obstetrical Nursing 108

32. Midwifery & Obstetrical Nursing – Practical 114

33. Community Health Nursing – II 117

34. Community Health Nursing – II Practical 123

35. Management of Nursing Services & Education 125

Philosophy
VMRF-DU believes that:

Health is a state of well being that enables a person to lead a psychologically, socially
and economically productive life. Health is a right of all the people. Individuals, families and
communities have a responsibility towards maintaining their health.

Nursing contributes to the health services in a vital and significant way in the health
care delivery system. It recognizes national health goals and is committed to participate in the
implementation of National Health policies and programmes. It aims at identifying health
needs of the people, planning and providing quality care in collaboration with other health
professionals and community groups.

Scope of nursing practice encompasses provision of promotive, preventive, curative

and rehabilitative aspects of care to people across their life span in wide variety of health care
settings. Practice of nursing is based upon application of basic concepts and principles
derived from the physical, biological and behavioral sciences, medicine and nursing.

Nursing is based on values of caring, and aims to help individuals of attain

independence in self-care. It necessitates development of compassion and understanding of
human behaviour among its practitioners to provide care with respect and dignity and protect
the rights of individuals and groups.

Undergraduate nursing program is broad based education within an academic

framework specifically directed to the development of critical thinking skills, competencies
and standards required for practice of professional nursing and midwifery as envisaged in
National Health Policy 2002.

The teachers have the responsibility to be role models and create learning
environment that enables students to acquire inquiry driven, self directed learning and foster
an attitude of life long learning.

Under graduate nursing education program prepares its graduates to become

exemplary citizen by adhering to code of ethics and professional conduct at all times in
fulfilling personal, social and professional obligations so as to respond to national aspirations.

1
Aim
The aim of the undergraduate nursing program is to:
 Prepare graduates to assume responsibilities as professional, competent nurses and
midwives in providing promotive, preventive, curative, and rehabilitative services.
 Prepare nurses who can make independent decisions in nursing situations, protect the
rights of and facilitate individuals and groups in pursuit of health, function in the hospital.
Community nursing services, and conduct research studies in the areas of nursing
practice. They are also expected to assume the role of teacher, supervisor, and manager in
a clinical/public health setting.

Objectives:
On completion of the four year B.Sc. Nursing program the graduate will be able to:
1. Apply knowledge from physical, biological, and behavioural sciences, medicine
including alternative systems and nursing in providing nursing care to individuals,
families and communities.
2. Demonstrate understanding of life style and other factors, which affect health of
individuals and groups.

3. Provide nursing care based on steps of nursing process in collaboration with the
individuals and groups.

4. Demonstrate critical thinking skill in making decisions in all situations in order to provide
quality care.

5. Utilize the latest trends and technology in providing health care.

6. Provide promotive, preventive and restorative health services in line with the national
health policies and programmes.

7. Practice within the framework of code of ethics and professional conduct, and acceptable
standards of practice within the legal boundaries.

8. Communicate effectively with individuals and groups, and members of the health team in
order to promote effective interpersonal relationships and teamwork.

9. Demonstrate skills in teaching to individuals and groups in clinical/community health

settings.

10. Participate effectively as members of the health team in health care delivery system.

11. Demonstrate leadership and managerial skills in clinical/community health settings.

12. Conduct need based research studies in various settings and utilize the research findings
to improve the quality of care.

13. Demonstrate awareness, interest, and contribute towards advancement of self and of the
profession.

2
Admission Requirements

st
1. The minimum age for admission shall be 17 years on or before 31 Dec. of the year
of the admission.

2. The minimum educational requirements shall be the passing of:

Higher Secondary school certificate Examination (12 years course),
Or
Senior School certificate Examination (10+2), pre-degree Examination (10+2)
Or
An equivalent with 12 years schooling from a recognized board or university with
Science (Physics, Chemistry, Biology) and English with minimum of 50% aggregate
marks (PCBE).

3. Candidate shall be Medically Fit.

Entrance/Selection test
Selection of the candidates should be based on the merit of the entrance examination
held by University or competent authority.

Duration
Duration of the course shall be four years including internship

Vacation
8 Weeks vacation shall be given in each year.

3
Duration:
Course Duration = 4 years

Weeks available per year = 52 weeks

Vacation = 8 weeks

Gazetted holidays = 3 weeks

Examination (Including preparatory) = 4 weeks

Available weeks = 37 weeks

Hours per week = 40

Practical = 30 hours per week

Theory = 10 hours per week

Internship practical = 48 hours per week

Hours available per academic year = 1480 (37 weeks x 40 hours)

Course of instruction
First Year

Theory (In hrs) Practical (In hrs)

Subject (In hrs)
(class and lab) (clinical)
1. * English 60
2. Anatomy 60
3. Physiology 60
4. Nutrition 60
5. Biochemistry 30
6. Nursing Foundations 265+200 450
7. Psychology 60
8. Microbiology 60
9. Introduction to Computers 45
10. ** Hindi / Regional language 30
11. Library work/Self Study 50
12. Co-curricular activities 50
Total Hours 930 450 100
Total hours = 1480 hrs.
* Optional

4
Second Year
Theory
Practical
Subject (In hrs) (In hrs)
(In hrs) (clinical)
(class and lab)
1. Sociology 60
2. Pharmacology 45
3. Pathology & 30
4. Genetics 15
5. Medical-Surgical Nursing (Adult
210 720
including geriatrics) – I
6. Community Health Nursing – I 90 135
7. Communication and Educational
60+30
Technology
8. Library work / Self Study 50
9. Co-curricular activities 35
Total Hours 540 855 85
Total hours = 1480 hrs.

Third Year
Theory
Practical (In hrs)
Subject (In hrs) (In hrs)
(clinical)
(class and lab)
1. Medical-Surgical Nursing (Adult
120 270
including geriatrics) – II
2. Child Health Nursing 90 270
3. Mental Health Nursing 90 270
4. Nursing Research & Statistics 45 *45
5. Library work / Self Study 50
6. Co-curricular activities 50
Total Hours 345 855 100
Total hours = 1300 hrs.
* Project work

Fourth Year
Theory
Practical (In hrs)
Subject (In hrs)
(clinical)
(class and lab)
1. Midwifery and Obstetrical nursing 90 360
2. Community Health Nursing-II 90 135
3. Management of Nursing Services and
60+30
Education
Total Hours 270 495
Total hours = 765 hrs.
5
Intern-Ship (Integrated Practice)
Practical = 30 hours per week

Practical In
Subject Theory
(In hrs) Weeks
1. Midwifery and obstetrical nursing 240 5
2. Community Health Nursing-II integrated with
public health & primary health care skills 195 4
3. Medical Surgical Nursing (Adult and geriatric) 430 9
4. Child Health 145 3
5.Mental Health 95 2
Total Hours 1105 23
Total : 1870 hours

Note:
1. Internship means 8 hours of integrated clinical duties in which 2 weeks of evening
and night shift duties are included.

2. Internship should be carried out as 8 hours per day @ 48 hours per week

3. Students during internship will be supervised by nursing teachers.

4. Fourth final examination to be held only after completing internship

6
Scheme of Examination
First year
Assessment
Subject
Hours Internal External Total
Theory
1. Anatomy & Physiology 3 25 75 100
2. Nutrition and Biochemistry 3 25 75 100
3. Nursing Foundations 3 25 75 100
4. Psychology 3 25 75 100
5. Microbiology 3 25 75 100
6. English* - - 50
7. Introduction to Computer* - - - 50
Practical and Viva Voce - - 50
1. Nursing Foundations 100 100 200

*- College Exam
Second Year
Assessment
Subject
Hours Internal External Total
Theory
3 25 75 100
8. Sociology
9. Medical – Surgical Nursing-I 3 25 75 100
10.Pharmacology, Pathology, genetics 3 25 75 100
11.Community Health Nursing – I 3 25 75 100
12.Communication and Educational
3 25 75 100
Technology
Practical & Viva voce
2. Medical – Surgical Nursing-I 100 100 200

Third Year
Assessment
Subject
Hours Internal External Total
Theory
3 25 75 100
13. Medical – Surgical Nursing-II
14. Child Health Nursing 3 25 75 100
15. Mental Health Nursing 3 25 75 100
16. Nursing Research & Statistics 3 25 75 100
Practical & Viva Voce
3. Medical–Surgical Nursing - II 50 50 100
4. Child Health Nursing 50 50 100

5. Mental Health Nursing 50 50 100

7
Fourth Year
Assessment
Subject
Hours Internal External Total
Theory
17. Midwifery and Obstetrical Nursing 3 25 75 100
18. Community Health Nursing - II 3 25 75 100
19. Management of Nursing Services
3 25 75 100
and education
Practical & Viva Voce
6. Midwifery and Obstetrical nursing 3 50 50 100
100
7. Community Health Nursing 3 50 50
8 Internship - - - 100

Note:
1. Anatomy and Physiology-Question paper will consist of Section A Anatomy of 37 marks
and B Physiology should be of 38 marks

2. Nutrition and Biochemistry and – Question paper will consist of Section A Nutrition of
45 marks and Section B of Biochemistry of 30 marks

3. Pharmacology, genetics, pathology: Section A of Pharmacology with 38 marks, Section B

of Pathology of 25 and Genetics with 12 marks

4. Nursing Research & Statistics – Nursing Research should be of 50 marks and Statistics of
25 marks

5. Minimum pass marks shall be 40% for English only

6. Theory and Practical exams for introduction to computer to be conducted as College

exam and marks to be sent to the University for inclusion in the marks sheet.

7. Minimum pass marks shall be 50% in each of the Theory and practical papers separately.

8. A candidate must have minimum of 80% attendance (irrespective of the kind of absence)
in theory and practical in each subject for appearing for examination.

9. A candidate must have 100% attendance in each of the practical areas before award of
degree.

10. A candidate has to pass in theory and practical exam separately in each of the paper.

11. If a candidate fails in either theory or practical paper he/she has to re-appear for both the
papers (Theory and practical).
8
12. Maximum number of attempts permitted for each paper is 3 including first attempt

13. A candidate failing in more then two subjects will not be promoted to the next year

14. Candidate shall not be admitted to the subsequent higher examination unless the
candidate has passed the previous examination.

15. The maximum period to complete the course successfully should not exceed 8 years

16. Maximum number of candidates for practical examination should not exceed 20 per day.

17. All practical examinations must be held in the respective clinical areas.

18. One internal and One external examiners should jointly conduct practical examination for
each student

19. An examiner should be a lecturer or above in a college of nursing with M.Sc. (N) in
concerned subject and minimum of 3 years of teaching experience. To be an examiner for
nursing foundations course faculty having M.Sc. (N) with any specialty shall be
considered.

9
English
Placement – First Year Time: Theory – 60 Hours
Course Description: The course is designed to enable students to enhance ability to comprehend
spoken and written English (and use English) required for effective communication in their
professional work. Students will practice their skills in verbal and written English during clinical and
classroom experiences.
Time Teaching Learning Assessment
Unit Learning Objectives Content
(Hrs) Activities methods
 Demonstrate use
 Review of Grammar of dictionary  Objective
 Remedial study of  Class-room Type
 Speak and write
Grammar conversation  Fill in the
I 10 grammatically
 Building Vocabulary  Exercise on use of blanks
correct English
 Phonetics Grammar  Para
 Public Speaking  Practice in public phrasing
speaking
 Develop ability to
 Read and  Exercise on:
read understand and  Short
comprehend - Reading
II 30 express Answers
prescribed course - Summarizing
meaningfully, the  Essay Types
books - Comprehension
prescribed text
 Exercises on
 Assessment
writing
 Various forms of of the skills
- Letter
composition based on the
writing
- Letter writing check list
- Nurses notes
- Note taking
- Precis
- Precis writing
- Diary
- Nurses notes
 Develop writing - Anecdote
III 10 - Anecdotal
skills - Health
records
problems
- Diary writing
- Story writing
- Reports on
- Resume/CV
health
 Essay writing
problems etc.,
- Discussion on
- Resume/CV
written
reports/documents
 Exercise on:
 Spoken English
 Debating
- Oral report  Assessment
 Participating in
 Develop skill in - Discussion of the skills
IV 6 seminar, panel,
spoken English - Debate based on the
symposium
- Telephonic check list
conversation  Telephonic
conversation
 Listening  Exercise on:
 Assessment
 Develop skill in comprehension  Listening to audio,
of the skills
V 4 listening Media, audio, video tapes and
based on the
comprehension video, identify the key
check list
speeches etc. points

10
 Anatomy
Placement – First Year Time: Theory – 60 Hours

Course Description: The course is designed to enable students to acquire knowledge of the normal
structure of various human body systems and understand the alterations in anatomical structures in
disease and practice of nursing.
Time Learning Teaching Learning Assessment
Unit Content
(Hrs) Objectives Activities methods
Introduction to Anatomical  Lecture
terms organization of the discussion  Short
human body  Explain using answer
 Describe the  Human Cell structure charts, questions
anatomical terms,
 Tissues – Definition, types, microscopic
organization of  Objective
characteristics, classification, slides, Skeleton
human body and type
I 5 location, functions and & torso
structure of cell,
formation  Demonstrate
tissues,
 Membranes and glands – cells, types of
membranes and
classification and structure tissues
glands
Alterations in disease membranes and
Applications and implications in glands
nursing  Record book
The Skeletal System
 Bones-types, structure, Axial  Lecture
& Appendicular Skeleton, discussion  Short
 Describe the  Bone formation and growth  Explain using answers
structure &  Description of bones charts, skeleton, questions
II 6
function of bones  Joints – classification and loose bones, and
and joints structure joints  Objective
Alterations in disease  Record book type
Applications and implications in
nursing
 Lecture
The Skeletal System
discussion
 Types and structure of  Short
 Explain using
 Describe the muscles answer
chart, models and
structure and  Muscle groups questions
III 7 films
function of Alterations in disease
 Demonstrate
muscles Applications and implications in  Objective
muscular
nursing type
movements
 Record book
The Nervous System
 Structure of neurologia &
neurons
 Somatic Nervous system  Lecture
- Structure of brain, spinal discussion  Short
 Describe the chord, cranial nerves, answer
structure and spinal nerves, peripheral  Explain using questions
IV 6
function of nerves models, charts,
nervous system  Autonomic Nervous System – slides, specimens  Objective
sympathetic, parasympathetic type
- Structure, location  Record book
Alterations in disease
Applications and implication in
nursing

11
 Time Teaching Learning Assessment
Unit Learning Objectives Content
(Hrs) Activities methods
The Sensory Organs
 Structure of skin, eye, ear,  Lecture  Short
 Explain the nose, tongue, (Auditory and discussion answer
structure & olfactory apparatus)  Explain using question
V 6
functions of models, charts,
sensory organs Alterations in disease slides, specimens  Objective
Applications and implications in  Record book type
nursing
Circulatory and lymphatic
system
 The Circulatory System
- Blood – Microscopic
structure
- Structure of Heart
- Structure of blood
vessels – Arterial &
Venous System,  Lecture
 Short
- Circulation : systemic, discussion
 Describe the answer
pulmonary, coronary
structure & questions
 Lymphatic system,  Explain using
VI 7 function of
- Lymphatic vessels and models, charts,
circulatory and  Objective
lymphatic system lymph slides, specimens type
- Lymphatic tissues
 Thymus gland  Record book
 Lymph nodes
 Spleen
 Lymphatic
nodules
Alterations in disease
Applications and implications in
nursing
The Respiratory System
 Lecture
 Structure of the organs of
discussion  Short
respiration
 Describe the  Explain using answers
 Muscles of respiration :
structure and models, torso, questions
VII 5 Intercostals and Diaphragm
functions of charts, slides,
respiratory system specimens  Objective
Alterations in disease
 Record book type
Applications and implications in
nursing
 Lecture
The Digestive System discussion
 Structure of Alimentary tract  Explain using  Short
 Describe the and accessory organs of models, torso, answer
structure and digestion charts, slides, and questions
VIII 6
function of films
digestive system Alterations in disease  Demonstrate  Objective
Applications and implications in muscular type
nursing movements
 Record book

12
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives methods
Activities

The Excretory System

(Urinary)  Lecture
 Structure of Urinary discussion
 Describe the  Short answer
 System: Kidney, ureters,  Explain using
structure & questions
IX 4 urinary bladder, urethra, models, torso,
functions of
structure of skin charts, slides,
excretory system  Objective type
Alterations in disease specimens
Applications and implication  Record book
in Nursing

The Endocrine System

 Lecture
 Structure of pituitary,
 Describe the discussion
pancreas, thyroid,  Short answer
structure and  Explain using
parathyroid, thymus and question
X 4 functions of models, charts,
adrenal glands
endocrine slides,
 Objective type
system specimens
Alterations in disease
 Record book
Applications and
implications in nursing

The Reproductive system

including breast
 Lecture
 Describe the  Structure of female discussion
 Short answer
structure and reproductive organs  Explain using
question
XI 4 functions of  Structure of male models, Torso,
reproductive reproductive organs charts, slides,
 Objective type
system  Structure of breast specimens
Alterations in disease  Record book
Applications and implications
in nursing

13
Physiology
Placement – First Year Time: Theory – 60 Hours
Course Description: The Course is designed to assist the students to acquire knowledge of the
normal physiology of various human body systems and understand the alterations in physiology in
diseases and practice of nursing.

Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives methods
Activities
Cell physiology
 Short
 Describe the  Tissue-formation, repair
 Lecture answer
physiology of  Membranes and glands –
discussion questions
I 4 cell, tissues, Functions
 Objective
membranes Alterations in disease
type
and glands Applications and implications in
Nursing
Skeletal System
 Lecture
 Bone formation & growth
 Describe the discussion
bone formation  Bones – functions and  Explain using  Short
movements of bones of axial and
and growth charts, models answer
appendicular skeleton, bone
II 4 and and films questions
Healing
movements of  Demonstration  Objective
 Joints – joint movement
skeleton of joint type
Alterations in disease
system movements
Applications and implications in
Nursing
 Lecture
discussion
 Describe the Muscular System  Explain using
muscle charts, models
 Muscle movements, Muscle tone,  Short
movements slides,
Physiology of muscle contraction, answer
and tone and specimen and
III 4 levels and maintenance of posture questions
demonstrate films
Alterations in disease  Objective
muscle  Demonstration
Applications and implications in type
contraction of muscle
Nursing
and tone movements,
tone and
contraction

Nervous System  Lecture

 Describe the  Functions of neurologia & discussion
physiology of Neurons
 Short
nerve stimulus  Stimulus & nerve-impulse-  Explain using
answer
reflexes, brain, definitions and mechanism charts, models
questions
IV 7 cranial and  Functions of brain, spinal cord, and films
spinal nerves cranial and spinal nerves
 Objective
 Demonstrate  Cerebrospinal fluid-Composition,  Demonstrate
type
reflex action circulation and function nerve stimulus,
and stimulus  Reflex arc, Reflex action and reflex action,
Reflexes reflexes

14
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives methods
Activities
Autonomic functions—
Pain: somatic, visceral, and referred
Autonomic learning and biofeedback
Alternations in disease
Applications and implications in
Nursing
 Lecture
discussion
 Describe the Circulatory System
 Explain using
physiology of  Blood formation, composition,
Charts, films
blood and blood groups, blood coagulation
 Demonstration
functions of  Hemoglobin: Structure, Synthesis  Short
of Blood cell
Heart and breakdown, Variation of answer
count,
 Demonstrate molecules, estimation questions
coagulation,
V 8 blood cell  Functions of Heart, Conduction,
grouping,
count, Cardiac cycle, circulation-Principles,  Objective
Haemoglobin
coagulation, Control, factors influencing BP and type
estimation,
grouping Pulse
Heart
Hb:BP and Alterations in disease
conduction
Pulse Applications and implications in
system.
monitoring Nursing
 Measurement
of pulse, BP
The Respiratory System
 Functions of respiratory organs
 Physiology of respiration  Lecture
 Describe the  Pulmonary ventilation, Volume discussion
 Short
physiology  Mechanics of respiration
answer
and  Gaseous exchange in lungs  Explain using
questions
VI 6 mechanisms  Carriage of Oxygen & carbon- charts, films
of respiration Dioxide
 Objective
 Demonstrates  Exchange of gases in tissues  Demonstration
type
spirometry  Regulation of respiration of spirometry
Alterations in disease
Applications and implications in
Nursing

The Digestive System

 Functions of organs of digestive  Lecture
 Describes the  Short
tract. Movements of alimentary discussion
physiology of answer
tract, Digestion in mouth, stomach,
digestive questions
VII 6 small intestines, Large intestines,  Explain using
system
Absorption of food. Functions of charts, films
 Demonstrates  Objective
liver, gall bladder and pancreas
BMR type
 Metabolism of carbohydrates,
protein and fat

15
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives methods
Activities
The Excretory System
 Functions of kidneys, ureters,
urinary bladder & urethra
 Lecture  Short
 Composition of urine
discussion
 Describe the  Mechanism of urine formation answer
physiology of  Functions of skin questions
VIII 5  Explain using
excretory  Regulation of body
charts, films
system Temperature  Objective
 Fluid and electrolyte balance type
Alterations in disease
Applications and implications in
nursing
 Short
The Sensory Organs  Lecture
answer
 Functions of skin, eye, ear, discussion
 Describe the questions
nose, tongue,
IX 4 physiology of
Alterations in disease  Explain using
sensory organs  Objective
Applications and implications in Charts, films
type
nursing
The Endocrine System  Lecture
 Functions of Pituitary, pineal discussion
 Short
body, thymus, Thyroid,
 Describe the answer
parathyroid, pancreas,  Explain using
physiology of questions
X 5 suprarenal, Placenta and charts, films
endocrine
ovaries & Testes
glands  Objective
Alterations in disease  Demonstration
type
Applications and implications in of BMR
nursing
The Reproductive System
 Reproduction of cells – DNA,
Mitosis, Meosis,
spermatogenesis, oogenesis.  Lecture
 Functions of female discussion
 Short
 Describe the reproductive organs; functions
answer
physiology of of breast, Female sexual cycle  Explain using
questions
XI 5 male and female  Introduction to embryology charts, films,
reproductive  Functions of male reproductive models,
 Objective
system organs, Male function in specimens type
reproduction, Male fertility
system,
Alterations in disease
Applications and implications in
nursing
Lymphatic and Immunological
System
 Circulation of lymph  Lecture
 Short
 Describe the  Immunity discussion
answer
physiology of - Formation of T-cells and
questions
XII 2 Lymphatic and B cells  Explain using
Immunological - Types of Immune charts, films
 Objective
System response
type
- Antigens
- Cytokines
- Antibodies
 16

Nutrition
Placement – First Year Time: Theory – 60 Hours

Course Description: The Course is designed to assist the students to acquire knowledge of nutrition
for maintenance of optimum health at different stages of life and its application for practice of
nursing.
Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objectives methods
Th. Pr. Activities
Introduction
 Nutrition:
- History
- Concepts
 Role of nutrition in
maintaining health  Lecture
 Nutritional problems in India discussion
 National nutritional policy  Short
 Describe the
 Factors affecting food and  Explaining answers
relationship
nutrition : socio-economic, using charts
I 4 between
cultural, tradition, production,  Objective
nutrition and
system of distribution, life  Panel type
health
style and food habits etc discussion
 Role of food and its medicinal
value
 Classification of foods
 Food standards
 Elements of nutrition : macro
and micro
 Calorie, BMR
Carbohydrates
 Classification
 Describe the  Caloric value
classification,  Recommended daily
functions,  Lecture  Short
allowances
sources and discussion answers
 Dietary sources
II 2 recommended
 Functions
daily  Explaining  Objective
allowances  Digestion, absorption and using charts type
(RDA) of storage, metabolism of
carbohydrates carbohydrates
 Malnutrition : Deficiencies
and Over consumption
Fats
 Classification
 Describe the  Caloric value
classification,
 Recommended daily  Lecture  Short
functions,
allowances discussion answers
sources and
III 2  Dietary sources
recommended
 Functions  Explaining  Objective
daily
allowances  Digestion, absorption and using charts type
(RDA) of Fats storage, metabolism
 Malnutrition : Deficiencies
and Over consumption

17
 Time
Teaching
(Hrs) Learning Assessment
Unit Content Learning
Th Pr Objectives Activities methods
. .
Proteins
 Describe the  Classification
classification,  Caloric value
functions,  Recommended daily  Lecture  Short
sources and Allowances discussion answers
2 recommended  Dietary sources
IV
daily  Functions  Explaining  Objective
allowances  Digestion, absorption, using charts type
(RDA) of metabolism and storage
Proteins  Malnutrition : Deficiencies
and Over consumption
Energy  Lecture
 Unit of Energy - Kcal discussion
 Energy requirements of
 Describe the different categories of  Explaining  Short
daily calorie people. using charts answers
requirement for  Measurements of energy
3
V different  Body Mass Index (BMI)  Objective
categories of and basic metabolism  Exercise type
people  Basal Metabolic Rate
(BMR)  Demonstrati
- determination and factors on
Affecting
Vitamins
 Describe the  Classification
classification,  Recommended daily
functions, Allowances  Lecture  Short
sources and  Dietary sources discussion
answers
VI 4 recommended  Functions
daily  Absorption, synthesis,  Explaining  Objective
allowances metabolism storage and using charts type
(RDA) of Excretion
Vitamins  Deficiencies
 Hypervitaminosis
 Describe the
classification,
functions,
sources and Minerals
recommended  Classification
daily  Recommended daily
allowances Allowances
(RDA) of  Lecture  Short
 Dietary sources
Minerals discussion answers
 Functions
VII 4
 Absorption, synthesis,
metabolism storage and  Explaining  Objective
Excretion using charts type
 Deficiencies
 Over consumption and
Toxicity
 18

Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objectives methods
Th. Pr. Activities
Water & electrolytes
 Water : Daily requirement, regulations of
 Describe the water metabolism, distribution of body  Lecture
 Short
sources, water discussion
answers
functions and  Electrolytes: Types, sources, composition
VIII 3 
requirements of body fluids  Explaining
 Objectiv
of water &  Maintenance of fluid & electrolyte balance using
e type
electrolytes  Over hydration, dehydration and water charts
intoxication
 Electrolyte imbalances

Cookery rules and preservation of

 Describe the nutrients  Short
cookery rules  Principles, methods of cooking and serving  Lecture answers
and - Preservation of nutrients discussion
preservation  Safe food handling-toxicity  Objectiv
of nutrients
 Storage of food  Demonstra e type
IX 5 15  Prepare and
 Food preservation, food additives and its tion
serve simple
principles  Assess-
beverages
 Prevention of food adulteration Act (PFA)  Practice ment of
and different
 Food standards session practice
types of
foods  Preparation of simple beverages and sessions
different types of food
Balanced diet
 Elements
 Food groups
 Describe and  Recommended Daily Allowance  Practice
plan balanced  Nutritive value of foods session  Exercise
diet for on menu
7 5  Calculation of balanced diet for different
X different planning
categories of people  Meal
categories of
people  Planning menu planning
 Budgeting of food
 Introduction to therapeutic diets:
Naturopathy – Diet

Role of nurse in nutritional programmes

 Describe  National programmes related to nutrition  Lecture
- Vitamin A deficiency programme discussion
various
national - National iodine deficiency disorders
programmes (IDD) programme  Explaining
related to - Mid-day meal programme with  Short
nutrition - Integrated child development scheme Slide/ answers
Film shows
XI 4  Describe the (ICDS)
role of nurse  National and International agencies  Objectiv
 Demonstra
in assessment working towards food/nutrition e type
tion of
of nutritional  - NIPCCD, CARE, FAO, NIN, CFTRI
Assessme
status and (Central food technology and research
nt of
nutrition institute) etc
nutritional
education  Assessment of nutritional status
status
 Nutrition education and role of nurse
 19

Biochemistry
Placement – First Year Time: Theory – 30 Hours

Course Description: The Course is designed to assist the students to acquire knowledge of the normal
biochemical composition and functioning of human body and understand the alterations in biochemistry in
diseases for practice of nursing.

Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
Introduction  Lecture
 Describe the structure discussion
 Definition and significance
Composition and Using  Short
in nursing
functions of cell charts, answer
 Review of structure.
 Difference between slides questions
I 3 Composition and functions
prokaryote and of cell  Demonstrate  Objective
Eukaryote cell use of type
 Prokaryote and Eukaryote
 Identify techniques of microscope
cell organization
Microscopy
 Microscopy
Structure and functions of
Cell Membrane
 Fluid mosaic model tight
junction, Cytoskeleton
 Short
 Transport mechanism;  Lecture
 Describe the structure answers
diffusion, osmosis, discussion
II 6 and functions of cell questions
filtration, active channel,
membrane  Objective
sodium pump
type
 Acid base balance-
maintenance & diagnostic
Tests
- PH buffers
Composition and metabolism
of Carbohydrates
 Types, structure,
composition and uses
- Monosaccharides,
Disaccharides,
Polysaccharides,
Oligosaccharides
 Lecture
- Metabolism  Short
discussion
Pathways of glucose answer
 Explain the metabolism - Glycolysis questions
III 6  Demonstrati
of carbohydrates - Gluconeogenesis: Cori’s
on of blood
cycle, Tricarboxylic  Objective
glucose
acid (TCA) cycle type
monitoring
- Glycogenolysis
- Pentose phosphate
Pathways (Hexose mono
phosphate)
- Regulation of blood
glucose level
Investigations and their
interpretations

20
 Time Teaching
Learning Assessment
Unit Content Learning
Objective methods
(Hrs) Activities
Composition and metabolism of
Lipids
Types, structure, composition and uses
of fatty acids
- Nomenclature, Roles and
Prostaglandins
- Metabolism of fatty acid
- Breakdown
 Lecture
- Synthesis  Short
discussion
Metabolism of triacyglycerols answer
 Explain the using charts
Cholesterol metabolism questions
IV 4 metabolism of
- Biosynthesis and its Regulation
Lipids  Demonstration
- Bile salts and bilirubin  Objective
of laboratory
- Vitamin D type
tests
- Steroid hormones
Lipoproteins and their functions
- VLDs, IDLs, LDLs and
HDLs
- Transport of lipids
- Atherosclerosis
- Investigations and their
interpretations.
Composition and metabolism of
Amino acids and Proteins
 Types, structure, composition and
uses of amino acids and Proteins
 Metabolism of Amino acids and
Proteins
- Protein synthesis, targeting
and glycosylation
 Lecture
- Chromatography  Short
discussion
 Explain the - Electrophoresis answer
using charts
metabolism of - Sequencing questions
V 6
Amino acids  Metabolism of Nitrogen
 Demonstration
and Proteins - Fixation and assimilation  Objective
of laboratory
- Urea Cycle type
tests
- Hemes and chlorophylls
 Enzymes and co-enzymes charts
- Classification
- Properties
- Kinetics and inhibition
- Control
Investigations and their
Interpretations
Composition of Vitamins and
Minerals
 Vitamins and minerals;  Lecture
 Short
 Describe types, - Structure discussion
answer
composition - Classification using charts
questions
VI 2 and utilization - Properties
of Vitamins & - Absorption  Demonstration
 Objective
minerals - Storage & transportation of laboratory
type
- Normal concentration tests
Investigations and their
interpretations
21
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives methods
Activities
Immunochemistry

 Immune response
 Structure and classification of
immunoglobins  Lecture
 Short
 Mechanism of antibody production discussion
answer
 Describe  Antigens: HLA typing
questions
the  Free radical and Antioxidants
VII 3
Immuno-  Specialized Protein: Collagen,  Demonstrate
 Objective
chemistry Elastin, Keratin, Myosin, Lens laboratory tests type
Protein
 Electrophoretic and Quantitative
determination of immunoglobins
– ELISA etc.
Investigations and their
interpretations

22
Nursing Foundations
Placement: First year Time: Theory – 265 Hours
Practical – 650 Hours
(200 lab and 450 clinical)

Course Description: This course is designed to help the students to develop an understanding of the
philosophy, objectives, theories and process of nursing in various Supervised Clinical settings. It is aimed at
helping the students to acquire knowledge, understanding and skills in techniques of nursing and practice them
in Supervised Clinical Settings.
Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
 Describe Introduction
the concept  Concept of Health: Health- illness  Lecture  Essay type
I 10 of health, continuum discussion
illness and  Factors influencing health  Short
health care  Causes and risk factors for developing  Visit to answers
agencies illness health care
 Body defences; Immunity and agencies  Objective
immunization type
 Illness and illness Behaviour:
 Impact of illness on patient and family
 Health care services: Health Promotion
and Prevention, Primary Care,
Diagnosis, Treatment, Rehabilitation and
Continuing care
 Health care teams
 Types of health care agencies
 Hospitals: Types organisation and
Functions
 Health Promotion and Levels of Disease
Prevention
 Primary health care and its delivery:
Role of nurse
 Explain Nursing as a Profession
concept and  Definition and characteristics of a  Lecture  Essay type
II 16 scope of profession discussion
nursing  Nursing:  Short
 Describe - Definition, concepts,  Case answers
values, philosophy, objectives discussion
code of - Characteristics, nature and scope of  Objective
ethics and nursing practice.  Role plays type
professional - Functions of nurse
conduct for - Qualities of a nurse
nurses in - Categories of nursing personnel
India - Nursing as a profession
- History of Nursing in India
 Values: Definition, types.
Values clarification and values in
professional Nursing: Caring and
Advocacy.
 Ethics:
- Definition and ethics and Principles
- Code of ethics and
professional conduct for nurse.

23
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
 Explain the Hospital admission and discharge  Lecture  Essay type
III 4 admission and discussion
discharge  Admission to the hospital  Short
procedure - Unit and its preparation  Demonstration answers
 Performs admission bed.
admission and - Admission procedure  Lab practice  Objective
discharge - Special considerations type
procedure - Medico- legal issues  Supervised
- Roles and Responsibilities Clinical  Assess
of the nurse. practice skills with
 Discharge from the hospital check list
- Types: planned discharge,
LAMA and abscond, Referrals  Clinical
and transfers practical
- Discharge planning examinati
- Discharge procedure on
- Special considerations
- Medico – legal issues
- roles and Responsibilities of
the nurse
- Care of the unit after discharge
 Communicate Communications and Nursing  Lecture
IV 10 effectively with patient relationship discussion  Essay type
patient, families
and term  Communication: Levels, Elements,  Role play and  Short
members and Types, Modes, Process, Factors, video film on answers
maintain influencing Communication the nurses
effective human - Methods of effective interacting  Objective
relations communication, with the type
(Projecting  Attending skills patient
professional  Rapport building skills
image)  Empathy skills  Practice
 Appreciate the - Barriers to effective session on
importance of communication patient
patient teaching teaching
in nursing  Helping Relationship (NPR):
Dimensions of helping relationship.  Supervised
Phases of a helping relationship clinical
practice
 Communicating effectively with
patient, families and term members
and maintain effective human
relations with special reference to
communicating with vulnerable
group (children, women, physically
and mentally challenged and elderly)

 Patient Teaching: Importance,

purposes, process, role of nurse and
integrating teaching in nursing
process.

24
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
V 15  Explain the The Nursing process  Lecture  Essay type
concept,  Critical Thinking and Nursing judgment discussion  Short
uses, format - Critical Thinking : Thinking and  Demonstration answers
and steps of Learning  Exercise  Objective
nursing - Competencies, Attitudes for Critical  Supervised type
process Thinking, Levels of critical thinking in Clinical
 Documents Nursing. practice
nursing  Nursing Process Overview:
process as Applications in practice:
per the - Nursing process format: INC, current
format format
- Assessment
 Collection of Data: Types,
Sources, Methods
 Formulating Nursing judgment:
Data interpretation
- Nursing diagnosis
 Identification of client problems
 Nursing diagnosis statement
 Difference between medical and
nursing diagnosis
- Planning
 Establishing priorities
 Establishing Goals and Expected
Outcomes,
 Selection of interventions:
protocols and standing orders
 Writing the nursing care plan
- Implementation
 Implementing the plan of care
- Evaluation
 Outcome of care
 Review and modify
- Documentation and Reporting
VI 4  Describe the Documentation and Reporting  Lecture  Essay type
purpose,  Documentation: Purposes of Recording discussion  Short
types and and reporting  Demonstration answers
techniques of  Communication within the Health Care  Practice  Objective
recording Term session type
and reporting  Types of records: ward records,  Supervised
medical/ nursing records. Clinical
 Common Record – Keeping forms, practice
Computerized documentation
 Guidelines for Reporting: Factual Basis,
Accuracy, Completeness, currentness,
organization, confidentiality.
 Methods of Recording,
 Reporting: Change- of shift reports:
Transfer reports, incident reports
Minimizing legalLiability through
effective record keeping

25
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
 Describe Vital signs  Lecture  Essay type
VII 15 principles and  Guidelines for taking vital signs: discussion  Short
techniques of  Body temperature:  Demonstration answers
monitoring - Physiology, Regulation, factors,  Practice  Objective
and affecting body temperature.  Supervised type
maintaining - Assessment of body temperature: Clinical practice  Assess with
vital signs sites, equipments and technique, check list
 Monitor and special considerations and clinical
maintain vital - Temperature alternations: practical
signs Hyperthermia, Heatstroke, examination
Hypothermia
- Hot and cold applications
 Pulse:
- Physiology and Regulation.
- Characteristics of the pulse,
Factors affecting pulse
- Assessment of pulse: sites,
location. Equipments and
technique, special considerations
- Alterations in pulse
 Respiration
- Physiology and Regulation,
Mechanics of breathing
characteristics of the respiration,
Factors affecting respiration.
- Assessment of respirations:
technique, special considerations
- Alternations in respirations
 Blood pressure:
- Physiology and Regulation
characteristics of the blood
pressure, Factors affecting blood
pressure
- Assessment of blood pressure
sites, equipments and technique,
special considerations
- Alternations in blood pressure
Recording of vital signs
 Describe Health assessment  Lecture  Essay type
VIII 30 purpose and  Purposes discussion  Short
process of  Process of Health assessment  Demonstration answers
health - Health history  Practice on  Objective
assessment - Physical examination: simulators type
 Describe the  Methods – Inspection,  Supervised
health palpation, percussion, Clinical practice
assessment of Auscultation, Olfaction
each body  Preparation for examination:
system patient and unit
 Perform  General assessment
health  Assessment of each body
assessment of system
each body  Recording of health assessment
system

26
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
 Identifies the Machinery, Equipment and linen  Lecture  Essay
IX 5 various  Types: Disposables and reusable – Linen, discussion type
machinery rubber goods, glass ware, metal, plastics,  Demonstrat  Short
equipment furniture, machinery ion answers
and linen and  Introduction:  Objective
their care - Indent type
- Maintenance
- Inventory
X 60  Describe the Meeting needs of patient  Lecture  Essay
basic,  Basic needs (Activities of daily living) discussion type

physiological Providing safe and clean environment:  Demonstrat  Short
and - Physical – environment: Temperature, ion answers
psychosocial Humidity, Noise, Ventilation, light,  Practice  Objective
needs of Odour, pests control sessions type
patient - Reduction of physical hazards: fire,  Supervised  Assess
 Describe the accidents Clinical with
principles and - Safety devices: Restraints, side rails, practice check list
techniques airways, trapez etc and
for meeting - Role of nurse in providing safe and clinical
basic, clean environment practical

Physiological Hygiene: - examinati
and - Factors Influencing Hygienic Practice on
psychosocial - Hygienic care: Care of the Skin-Bath
needs of and pressure points, feet and nail, oral
patient cavity, Hair Care, Eyes, Ears and Nose
 Perform  Assessment, Principles, Types,
nursing Equipments, Procedure, Special
assessment, Considerations
plan, - Patient environment: Room Equipment
implement and linen, making patient beds
and evaluate  Types of beds and bed making

the care for Comfort: -
meeting - Factors Influencing comfort
basic, - Comfort devices
physiological  Physiological needs:

and Sleep and Rest:
psychosocial - Physiology of sleep
needs of - Factors affecting sleep
patient - Promoting Rest and sleep
- Sleep Disorders

Nutrition:-
- Importance
- Factors affecting nutritional needs
- Assessment of nutritional
needs : variables
- Meeting Nutritional needs : Principles
equipment, procedures and special
considerations

27
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities

 Oral
 Enteral : Naso/Orogastric, gastrostomy
 Parenteral :

Urinary Elimination
- Review of physiology of urine elimination,
composition and characteristic of urine
- Factors influencing urination
- Alternation in urinary elimination
- Types and collection of urine specimen :
observation, urine testing
- Facilitating urine elimination : assessment, types,
equipment, procedure & the special consideration
 Providing urinal / bedpan
 Condom, drainage
 Perineal care
 Catheterization
 Care of urinary drainage
 Care of urinary diversions
 Bladder irrigation

Bowel Elimination
- Review of physiology of bowel elimination,
composition & characteristics of faeces
- Factors affecting bowel elimination
- Alternation in bowel elimination
- Types and collection of specimen of faeces :
observation
- Facilitating bowel elimination : assessment,
equipments, procedures and special consideration
 Passing of Flatus tube
 Enemas
 Suppository
 Sitz bath
 Bowel wash
 Care of Ostomies

Mobility and Immobility
- Principles of Body Mechanics
- Maintenance of normal body Alignment and
mobility
- Hazards associated with immobility
- Alteration in body Alignment and mobility
- Nursing interventions for impaired Body Alignment
and Mobility: assessment, types, devices used,
method and special consideration, rehabilitation
aspects
 Range of motion exercises
 Maintaining body alignment: Positions
 Moving
 Lifting
 Transferring
 Walking
 Restraints

28
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities

Oxygenation
- Review of Cardiovascular and
respiratory
- Factors Affecting Oxygenation
- Alterations in oxygenation
- Nursing interventions in oxygenation:
assessment, types, equipment used,
procedure and special consideration
 Maintenance of patent airway
 Oxygen administration
 Suction
 Inhalations: dry and moist
 Chest physiotherapy and postural
drainage
 Pulse oximetry
 CPR – Basic life support

Fluid, Electrolyte, and Acid-Base
Balances
- Review of physiological Regulation of
Fluid, Electrolyte, and Acid – Base
Balance
- Factors Affecting fluid, Electrolyte,
and Acid – Base Balances
- Alterations in Fluid, Electrolyte, and
Acid- Base Balances
- Nursing interventions in Fluid,
Electrolyte, and Acid – Base
Imbalances: assessment, types,
equipment, procedure and special
considerations
 Measuring fluid intake and output
 Correcting Fluid, Electrolyte
Imbalance:

Replacement of fluids: Oral
and Parenteral-
Venipuncture, regulating IV
Flow rates, changing IV
solutions and tubing,
Changing IV dressing,
 Administering Blood
transfusion
 Restriction of fluids
 Psychosocial Needs
 Concepts of Cultural Diversity,
Stress and Adaptation, Self-concept,
Sexuality, Spiritual Health, Coping
with loss, death and grieving
 Assessment of psychosocial needs
 Nursing intervention
for psychosocial needs
- Assist with coping and adaptation
- Creating therapeutic environment
 Recreational and diversional
therapies
29
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
XI 20  Describe Infection control in Clinical settings  Lecture
principles and  Infection control discussion
techniques for  Nature of infection  Demonstrati
infection  Chain of infection transmission on
control and  Defenses against infection:  Practice
biomedical natural and acquired session
waste  Hospital acquired infection  Supervised
management (Nosocomical infection) Clinical
in Supervised  Concept of asepsis :medical practice
Clinical asepsis, and surgical asepsis
settings  Isolation precautions (Barrier
nursing):

Hand washing : simple, hand
antisepsis and surgical antisepsis
(scrub)

Isolation: source and protective

Personal protecting equipments:
types, uses and technique of
wearing and removing

Decontamination of equipment
&unit

Transportation of infected
patients

Standard safety precautions
(Universal precautions)

Transmission based precautions
 Biomedical waste management:
 Importance
 Types of hospital waste
 Hazards associated with
hospital waste
 Decontamination of hospital
waste
 Segregation and transportation
and disposal
XII 40  Explain the Administration of Medications  Lecture  Essay type
principles, discussion  Short answers
routes, effects  General  Objective type
of Principles/considerations  Demonstrati  Assess with
administration  Purposes of medication on check list and
of  Principles:5 rights, special clinical
medications Considerations, Prescriptions,  Practice practical
 Calculate Safety in Administering session examination
conversions of Medications and Medication
drugs and Errors  Supervised
dosages  Drug forms Clinical
within and  Routes of administration practice
between  Storage and maintenance of
systems of drugs and Nurses responsibility
measurements  Board classification of drugs
 Perform care
of wounds

30
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
 Therapeutic Effect, Side Effects,
Toxic effects, Idiosyncratic
Reactions, Drug Tolerance, Drug
Interactions
 Factors Influencing drug Actions
 Systems of Drug
Measurement : Metric system,
Apothecary system, Household
measurements, Solutions
 Converting Measurements Units:
Conversion within one system,
Conversion between systems, Dosage
Calculation
 Terminologies and abbreviations
used in prescriptions of medications
 Oral Drugs Administration Oral,
Sublingual and Buccal: Equipment,
procedure
 Parenteral
- General principles:
Administer Decontamination and disposal of
drugs by the syringes and needles
following - Types of syringes, needles, canula,
routes-oral, and infusion sets
Intradermal,Su - Protection from Needle stick
bcutaneous, Injuries : giving Medications with a
Intramuscular, safety syringes
Intra Venous - Routes of parenteral therapies
topical Intradermal: purpose, site,
inhalation equipment, procedure, special
considerations
- Subcutaneous: purpose, site,
equipment, procedure, special
considerations
- Intramuscular : purpose, site,
equipment, procedure, special
considerations
- Intra Venous : purpose, site,
equipment, procedure, special
considerations
-Advanced techniques: epidural,
intrathecal, intraosseous,
intraperitonial, intraplural, intra-
arterial
Role of nurse
 Topical Administration:
purposes, site, equipment,
procedure, special
considerations for
- Application to skin

31
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
- Application to mucous membrane
- Direct application of liquids-
Gargle and swabbing the throat
- Insertion of Drug into body cavity:
Suppository/medicated packing in
rectum/vagina
- Instillations: Ear, Eye, Nasal, Bladder
and Rectal
- Spraying: Nasal, oral,
endotracheal/tracheal
(steam, oxygen and medications) –
purposes, types, equipment, procedure,
special considerations
- Recording and reporting of medications
Administered

Meeting needs of Perioperative patients

* Describe the - Definition and concept of perioperative
pre and post nursing
operative care - Preoperative phase
of patients - Preparation of patient for surgery
Explain the - Intraoperative
process of Operation theatre Set up and
wound healing Environment
* Explain the Role of nurse
principles and - Post operative Phase
techniques of - Recovery unit
wound care - Postoperative unit
* Explain the - Post operative care,
XIII 10
principles and  Wounds: types, Classifications, wound
techniques of Healing Process, Factors affecting
wound care Wound, Complications of Wound
Healing
Perform care  Surgical asepsis
of wounds  Care of the wound: types, equipments,
procedure and special considerations
 Dressing, Suture Care,
 Care of Drainage
 Application of Bandages, Binders,
Splints & Slings
- Heat and Cold Therapy

32
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
XIV 15  Explain Meeting special needs of the patient  Lecture  Essay type
care of patients  Care of patients having alteration in discussion
having  Temperature (hyper and  Short answers
alterations in hypothermia); Types, assessment,  Case
body Management discussion  Objective type
functioning  Sensorium (Unconsciousness);
Assessment, Management  Supervised
 Urinary Elimination (retention and Clinical
incontinence); Assessment, practice
Management

Functioning of sensory organs:
(Visual & hearing impairment)

Assessment of Self-Care ability
 Communication Methods and
special considerations
 Mobility (physically challenged,
cast), assessment of Self-Care
ability: Communication Methods
and special considerations

Mental state (mentally challenged),
assessment of Self-Care ability;
 Communication Methods and
special considerations
 Respiration (distress); Types,
Assessment, Management

Comfort-(Pain)-Nature, Types,
Factors influencing pain, Coping,
Assessment, Management;
 Treatment related to gastrointestinal
system : naso-gastric suction, gastric
irrigation, gastric analysis
XV 5  Explain care Care of Terminally ill patient  Lecture  Essay type

of terminally Concepts of Loss, Grief, Grieving discussion
ill patient Process  Demonstrat  Short answers

Signs of clinical death ion

Care of dying patient : special  Case  Objective type
considerations discussion /
- Advance directives: euthanasia, Role play
will, dying declaration, organ  Practice
donation etc session
 Medico-legal issues  Supervised

Care of dead body: equipment, Clinical
procedure and care of unit practice
 Autopsy
 Embalming
XVI 6  Explain the Professional Nursing concepts and  Lecture  Essay type
basic concepts practices discussion  Short answers
of conceptual  Conceptual and theoretical modes of
and nursing practice: Introduction to models
theoretical – holistic model, health belief model,
models of health promotion model etc
nursing  Introduction to Theories in Nursing;
Peplau’s Henderson’s Orem’s Neuman’s
Roger’s and Roy’s
 Linking theories with nursing process
33
Nursing Foundations - Practical
Placement: First year Time: Practical – 650 Hours
(200 lab and 450 clinical)
Course Description: This course is designed to help the students to develop an understanding of the
philosophy, objectives, theories and process of nursing in various Clinical settings. It is aimed at helping the
students to acquire knowledge, understanding and skills in techniques of nursing and practice them in
Supervised Clinical Settings.

Time Assign- Assessment

Areas Objectives Skills
(Hrs) ments methods
Hospital admission and discharge  Evaluate with
Demonst 200  Performs (III)  Practice checklist
-ration 450 admission  Admission in Unit/  Assessment of
Lab Mini- and  Prepare Unit for new patient hospital clinical
General mum discharge  Prepare admission bed performance
Medical practi procedure  Performs admission procedure with rating scale
and ce  New Patient  Completion of
Surgery time  Transfer in practical record
ward in  Prepare patient records
clinic
Discharge/Transfer out
al
 Gives discharge counselling
area)
 Perform discharge procedure
(Planned discharge, LAMA and
abscond, Referrals and transfers)
 Prepare records of  Assessment of
discharge/transfer nursing process
records with
 Dismantle, and disinfect unit
checklist
and equipment after discharge
/transfer  Assessment of
actual care given
Perform assessment: with rating scale
 Write
 History taking, Nursing nursing
diagnosis, problem list process
Prioritization, Goals & records of
 Expected Outcomes, selection patient
of interventions  Simulated
 Write Nursing Care Plan –1
 Gives care as per the plan  Actual – 1

 Communi- Communication  Role-  Assess role plays

cate plays in with the check-
effectively  Use verbal and non verbal simulated list on
with patient, communication techniques situations communication
families and on techniques
team Prepare a plan for patient communic  Assess health talk
members and teaching session ation with the checklist
 Maintain techniques  Assessment of
effective -1 communication
human techniques by
relations  Health rating scale
 Develops talk - 1
plan for
patient
teaching

34
 Time Assessment
Areas Objectives Skills Assignments
(Hrs) methods
 Prepare patient Write patient report  Write nurses  Assessment
reports  Change-of shift reports, Transfer notes and of perfor-
 Presents reports, Incident reports etc. present the mance with
reports  Presents patient report patient report rating scale
Vital signs of 2-3
 Measure, Records and interpret assigned  Assessment
 Monitor vital alterations in body temperature, pulse patient of each
signs respiration and blood pressure  Lab practice skill with
Health assessment  Measure checklist
 Health history taking Vital signs of
 Perform assessment: assigned  Completion
 General patient of activity
 Body systems record
 Perform health  Use various methods of physical
assessment of examination
each body  Inspection, palpation, percussion,
system Auscultation, Olfaction
 Identification of system wise
deviations
 Provide basic Prepare patient’s unit:  Practice in
nursing care to  Prepare beds: lab &  Assessment
patients  Open, closed, occupied, operation, hospital of each
amputation,  Simulated skill with
 Cardiac, fracture, burn, Divided, exercise on rating scale
& Fowlers bed CPR manikin  Completion
 Pain assessment and provision for of activity
comfort record
Use comfort devices Hygienic care:
 Oral hygiene:
 Baths and care of pressure points
 Hair wash, Pediculosis treatment
Feeding:
 Oral Enteral, Naso/Orogastric,
gastrostomy and Parenteral feeding
 Naso-gastric insertion, suction, and
irrigation

 Provides urinal/bedpan
 Condom drainage
 Perineal care
 Catheterization
 Care of urinary drainage

 Insertion of Flatus tube

 Enemas
 Insertion of Suppository
Bowel wash
Body Alignment and Mobility:
 Range of motion exercises
 Positioning: Recumbent,
Lateral (rt/lt), Fowlers, Sims,
Lithotomy, Prone, Trendelenburg
position

35
 Time Object Assessment
Areas Skills Assignments
(Hrs) ives methods

 Assist patient in Moving, lifting, transferring,

walking
 Restraints

Oxygen administration

Suctioning: oropharyngeal, nasopharyngeal

Chest physiotherapy and postural drainage

Care of Chest drainage

CPR – Basic life support

Intravenous therapy

Blood and blood component therapy

Collect/assist for collection of specimens for

investigations Urine, sputum, faeces, vomitus,
blood and other body fluids

Perform lab tests:

 Urine: sugar, albumin, acetone

 Blood :sugar (with strip/gluco-meter)

Hot and cold applications:

Local and general Sitz bath

Communicating and assisting with self-care of

visually & hearing impaired patients

Communicating and assisting with self-care of

mentally challenged/disturbed patients

Recreational and diversional therapies

Caring of patient with alteration in sensorium

36
 Time Assessment
Areas Objectives Skills Assignments
(Hrs) methods
 Observation  Assess
 Perform Infection control study-2 observation
infection  Department of study with
control  Perform following procedure: infection control check list
procedures  Hand washing techniques & CSSD
 (Simple, hand antisepsis and  Visits CSSD  Evaluate
surgical antisepsis (scrub) write all
 Prepare isolation unit in lab/ward observation procedures
 Practice technique of wearing and report 1 with check
removing personal protective  Collection of list
equipment (PPE) samples for
 Practice Standard safety culture
precautions (Universal  Do clinical
precautions) posting in
infection control
Decontamination of equipment and department and
unit:- write report
 Practice in lab /
 Surgical asepsis: ward
 Sterilization
 Handling sterilized equipment
 Calculate strengths of lotions,
 Prepare lotions,
 Provide
care to pre  Care of articles
and post
operative Pre and post operative care:
patients
 Skin preparations for surgery: Local
 Perform  Preparation of Post operative unit
procedures  Pre & Post operative teaching and
for care of counselling
wounds  Pre and post operative monitoring
 Care of the wound:
 Dressings, Suture Care, care of
Drainage, Application of Bandages,
Binders, Splints & Slings
 Bandaging of various body parts

37
 Time Assessment
Areas Objectives Skills Assignments
(Hrs) methods

 AdministerAdministration of medications
drugs
100  Administer Medications in different
forms and routes
 Oral, Sublingual and Buccal
 Parenteral : Intramuscular etc
 Assist with Intra Venous medications
 Drug measurements and dose
calculations
 Preparation of lotions and solutions
 Administers topical applications
 Insertion of drug into body cavity:
Suppository & medicated packing
etc.
 Instillation of medicines and spray
into Ear, Eye, Nose and throat
 Irrigations: Eye, Ear, Bladder,
Vagina and Rectum
 Inhalations: dry and moist
 Provide
care to Care of dying patient
dying and
dead  Caring and packing of dead body

 Counsel and  Counseling and supporting grieving

support relative
relatives  Terminal care of the unit

38
 Psychology
Placement – First Year Time: Theory – 60 Hours

Course Description: The Course is designed to assist the students to acquire knowledge of fundaments of
psychology and develop an insight into behaviors of self and others. Further it is aimed at helping them to
practice the principles of mental hygiene for promoting mental health in nursing practice.

Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives methods
Activities
Introduction
 Describe the  History and origin of science of  Lecture  Essay
history psychology discussion type
I 2 scope and
 Definitions & Scope of psychology
methods of  Short
 Relevance to nursing
psychology answer
 Methods of Psychology
Biology of behaviour
 Body mind relationship modulation
process in health and illness
 Genetics and behaviour
 Heredity and environment  Essay
 Explain the  Lecture
 Brain and behaviour Nervous System type
biology of discussion
II 4 Neurons and synapse
human
 Association Cortex, Rt and Lt Hemispheres  Short
behaviour
 Psychology of sensations answer
 Muscular and glandular controls of
behaviour
 Nature of behaviors of an
organism/Integrated responses
Cognitive processes
 Attention : Types, determinants, Duration
& degree, alterations
 Perception : Meaning, Principles, factors
affecting, Errors
 Learning: Nature, types, learner and
learning, Factors influencing, law and
theories, process, transfer, study habits
 Memory: Meaning, Types,Nature, Types,
 Lecture
 Describe learner and learning. Factors influencing,
discussion  Essay
various Development Theories and methods of
type
cognitive memorizing and Forgetting.
III 20  Psychometric
processes  Thinking: Types and levels, stages of
assessment  Short
and their development
 Practices answer
applications  Relationship with language and
sessions
communication
 Intelligence: Meaning, classification, uses,
theories
 Aptitude: Concept, types, individual
differences and variability
 Psychometric assessments of cognitive
processes
 Alternations in cognitive processes
 Applications

39
 Assess-
Time Learning Teaching Learning
Unit Content ment
(Hrs) Objectives Activities
methods

Motivation and Emotional Processes:

 Motivation: meaning, concepts,

types, Theories, Motives and
behaviour, Conflicts and frustration,
conflict resolution
 Emotions & stress
- Emotion: Definition,
 Describe components, changes in  Lecture discussion
motivation,  Role plays  Essay
emotions, theories, emotional
emotions,  Case Discussion type
adjustments, emotions in health
IV 8 stress, and illness  Demonstration
attitudes and - Stress : Stressors, cycle, effect,  Short
their influence adaptation & coping answer
on behaviour
 Attitude: Meaning, nature,
development, factors affecting
- Behaviour and attitudes
- Attitudinal change
 Psychometric assessments of
emotions and attitudes
 Alterations in emotions
 Applications

Personality
 Explain the
 Essay
concepts of  Definitions, topography, types,
 Lecture discussion type
personality Theories
V 7
and its  Psychometric assessments of
 Demonstration  Short
influence on personality
answer
behaviour  Alternations in personality
 Applications

Developmental Psychology

 Psychology of people at different age  Essay

 Describe from infancy to old age  Lecture discussion type
psychology of
VI 7  Psychology of vulnerable
people during
individuals-challenged, women, sick,  Case Discussion  Short
the life cycle
etc. answer
 Psychology of groups

40
 Teaching
Time Assessment
Unit Learning Objectives Content Learning
(Hrs) methods
Activities
Mental hygiene and mental health

 Concepts of mental hygiene and

mental health
 Characteristics of mentally
 Lecture
 Describe the healthy person
discussion  Essay
characteristics of  Warning signs of poor mental
 Case Discussion type
 Mentally health health
VII 8  Role play
person  Promotive and preventive mental
 Demonstration  Short
 Explain ego health strategies and services
answer
defence mechanisms  Ego defence mechanisms and
implications
 Personal and social adjustments
 Guidance and counseling
 Role of Nurse

Psychological assessment & tests

 Lecture
 Explain the  Assess-
 Types, development, discussion
Psychological ment of
VIII 4 Characteristics, Principles, Uses,  Demonstration
assessments and role practice
interpretations and Role of nurse  Practice
of nurse
in psychological assessment sessions

41
 Microbiology
Placement – First Year Time: Theory – 60 Hours (Theory 45+ 15 lab)

Course Description: The course is designed to enable students to acquire understanding of fundamentals of
Microbiology and identification of various micro-organisms. It also provides opportunities for practicing
infection control measures in hospital and community settings.

Time
Teaching
(Hrs) Learning Assessment
Unit Content Learning
Objectives methods
Th. Pr. Activities

 Explain
concepts and Introduction  Short
answer
principles of  Importance and relevance to nursing  Lecture
I 5 microbiology  Historical perspective discussion
 Objective
and their  Concepts and terminology
type
importance in  Principles of microbiology
nursing
General characteristics of Microbes
 Structure and classification of Microbes
 Morphological types
 Size and form of bacteria
 Describe
 Motility
structure,
 Colonization  Short
classification  Lecture
morphology  Growth and nutrition of microbes discussion answer
- Temperature
II 10 5 and growth of  Demonstra
bacteria - Moisture tion  Objective
- Blood and body fluids type
 Identify
Micro-  Laboratory methods for Identification of
organisms Micro-organisms
 Staining techniques, Gram staining,
Acid fast staining, Hanging drop
preparation
 Cultures: various medias
Infection control
 Infection: sources, portals of entry and
exit, transmission
 Asepsis
 Describe the  Disinfection, Types and methods  Lecture
methods  Sterilization: Types and Methods discussion
infection  Short
 Historical perspective  Demonstra
control answer
 Chemotherapy and antibiotics tion
 Identify the
III 10 2  Standard safety measures  Visits to
role of nurse  Objective
 Biomedical waste management CSSD
in hospital type
infection  Role of Nurse  Clinical
control  Hospital acquired infection practice
programme  Hospital infection control programme
- Protocols, collection of samples,
preparation of report and status of rate
of infection in the unit/hospital, nurse’s
accountability, continuing education etc.

42
 Time
Teaching
(Hrs) Learning Assessment
Unit Content Learning
Objectives methods
Th. Pr. Activities

Pathogenic organisms

 Micro-organisms
- Cocci-gram positive and gram
negative
- Bacilli – gram positive and gram
negative
- Spirochaete  Lecture
 Describe the - Mycoplasma discussion  Short
different - Rickettsiae  Demonstrat answer
IV 12 4 disease - Chlamydiae ion
producing  Viruses  Clinical  Objective
type
organisms  Fungi – superficial and deep mycoses practice
 Parasites
 Rodents & vectors
Characteristics, sources, portal of entry,
transmission of infection
Identification of disease producing
micro-organisms
Collection, handling and transportation
of various specimens

Immunity

 Immunity-Types, classification
 Antigen and antibody reaction  Lecture
 Explain the  Hypersensitivity – skin test discussion  Short
concept of answer
 Serological test  Demonstrat
community,
V 8 4  Immunoprophylaxis ion
hyper  Objective
 Morphological types  Clinical
sensitivity and type
immunization - Vaccines & sera – types & practice
classification storage and
handling, cold chain
- Immunization for various diseases
- Immunization schedule

43
 Introduction to Computers
Placement – First Year Time: Theory – 45 Hours

Course Description: The course is designed for students to develop basic understanding of uses of computer
and its applications in nursing.

Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objectives methods
Th. Pr. Activities
 Identify & define Introduction
various concepts  Short answer
 Lecture
used in computer  Concepts of computers
discussion
I 3  Identify  Hardware and software;  Objective
 Demonstration
application of trends and technology type
computer in  Application of computers in
nursing nursing
 Introduction to disk operating
system
 Describe and Use - DOS  Short answer
the Disk - Windows (all version)  Lecture  Objective
operating system  Introduction discussion type
II 6 20
 Demonstrate skill - MS word  Demonstration  Practical
in the use of MS - MS Excel with pictorial  Practice session Exam
office presentation
 MS – Access
 MS Power point
 Demonstrate skill  Short answers
in using multi-  Lecture  Objective
media  Multimedia : types & uses discussion type
III 2 3  Identify features  Computer aided teaching &  Demonstration  Practical
of computer aided testing  Practice session Exam and
teaching and Viva Voce
testing

 Short answers
 Lecture
 Demonstrate use  Objective
discussion
type
IV 1 3 of internet and * Use of Internet and: e-mail  Demonstration
 Practical
Email  Practice session
Exam and
Viva Voce

 Short answer
 Lecture
 Objective
 Describe and use discussion
 Statistical packages : types type
V 2 2 the statistical  Demonstration
and their features  Practical
packages  Practice session
Exam and
Viva Voce
 Short answer
 Objective
 Describe the use
 Lecture type
of Hospital  Hospital Management
VI 1 2 discussion  Practical
Management System : Types and uses
 Demonstration Exam and
system
Viva Voce

44
Sociology
Placement: Second year Time: Theory – 60 Hours

Course Description: This course is designed to introduce the concepts of sociology related to community and
social institutions in India and its relationship with health, illness and nursing.

Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
 State the
importance of Introduction  Lecture  Essay type
I 1 sociology in  Definition of Sociology discussion
Nursing  Nature and scope f the discipline  Short answers
 Importance and application of
Sociology in Nursing

 Describe the Individual & Society

inter-  Society and Community  Lecture  Essay type
relationship of  Nature of Society discussion
individual in  Difference between Society and  Short answers
society and Community
II 3 community  Process of Socialisation and
individualization
 Personal disorganization
 Describe the Culture
influence of  Nature of culture  Lecture  Essay type
culture and on  Evolution of culture discussion
health and  Diversity and uniformity of  Panel  Short answers
III 3
disease culture discussion
 Culture and socialization
 Transcultural society
 Influence on health and disease
 Identify various Social groups and Processes
social groups  The meaning and classification of  Lecture  Essay type
and their groups discussion
interactions  Primary & Secondary Group  Short answers
 In-group V/s. Out Group, Class
Tribe, Caste
 Economic, Political, Religious
IV 4
groups, Mob, Crowd, Public and
Audience Interaction& Social
Processes
 Co-operation, Competition,
conflict
 Accommodation, Assimilation &
Isolation
 Explain the Population
growth of  Society and population  Lecture  Essay type
population in  Population distribution in India- discussion  Short answers
India and its Demographic characteristics  Community  Assessment
V 6  Malthusian theory of populations
impact on identification of report on
health  Population explosion in India and community
its impact on health status identification
 Family welfare programmes

45
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
 Describe the Family and Marriage
institutions of  Family – Functions  Lecture  Essay type
VI 5 family and  Types-joint, Nuclear, Blended discussion  Short
marriage in and extended Family:  Family case answers
India Characteristics study  Assessment
 The Modern Family – Changes, of family
Problems-Dowry etc. Welfare case study
Services
 Changes & legislations on family
and marriage in India – marriage
acts.
 Marriage: Forms and functions of
marriage
 Marriage and family problems in
India
 Family, marriage and their
influence on health and health
practices
 Describe the Social stratification
class and caste  Meaning & types of social  Lecture  Essay type
system and their stratification discussion  Short
influence on  The Indian Caste System-origin  Community answers
health and & features Survey  Assessment
health practices  Features of Caste in India Today of report on
 Social Class system and status community
VII 7  Social Mobility-Meaning & survey
Types
 Race as a biological concept,
criteria of racial classification
 Salient feature of Primary races
Racism
 Influence of class, caste and Race
on health and health practices
 Describe the Types of Communities in India
types of (Rural, Urban and Regional)  Lecture  Essay type
communities in  Features of Village community & discussion  Short
India, their characteristics of Indian Villages-  Visits to rural answers
practices and the panchayat system, social and urban  Assessment
impact on health dynamics community of report on
 Community development project  Community community
& planning Survey survey
 Changes in Indian rural Life
 Availability of health facilities in
VIII 6
rural and its impact on health and
health practices
 Urban-community-features
 The growth of cities:
Urbanisation and its impact on
health and health practices
 Major Urban problems – Urban
slums
 Region: Problems and impact on
health
46
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
 Explain the Social Change
process of  Nature and process of Social  Lecture  Essay type
social change Change discussion
 Short answers
 Factors influencing social change:
IX 4
cultural change, cultural lag.
 Introduction to Theories of Social
change: Linear, Cyclical,
Marxian, Functional
Role of Nurse-change agents
 Describe the Social Organization and social
Social system system  Lecture  Essay type
and inter-  Social organization: elements, discussion
relationship of types  Observation  Short answers
social  Democratic and authoritarian visits  Assessment
organizations modes of participation of visit
4  Voluntary associations reports
X  Social system: Definition and
Types of social system
 Role and status as structural
elements of social system
 Inter-relationship of institutions

 Explain the Social Control

nature and  Lecture  Essay type
process of  Nature and process of social discussion  Short answers
social control control  Community  Assessment
 Political, Legal, Religious, survey of report on
XI 2 Educational, Economics community
 Industrial and Technological survey
systems, Norms & values-
Folkways & Mores customs,
Laws and fashion

 Describe the Social Problems

role of the nurse  Lecture  Essay type
in dealing with  Social disorganization discussion  Short answers
social problems  Control & planning : poverty,  Institutional  Assessment
in India housing, illiteracy, food supplies, visits of visit
prostitution, rights of women & reports
children, vulnerable groups:
XII 15 Elderly, handicapped, minority
groups and other marginalized
groups, child labour, child abuse,
delinquency and crime, substance
abuse, HIV/AIDS
 Social Welfare programmes in
India
Role of Nurse

47
Pharmacology
Placement: Second year Time: Theory – 45 Hours

Course Description: This course is designed to enable students to acquire understanding of pharmaco-
dynamics, pharmacokinetics, principles of therapeutics and nursing implications

Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
Introduction to pharmacology
Describe  Definition  Lecture  Short
I 3 pharmaco  Sources discussion answers
dynamics,  Terminology used  Objective
pharmaco  Types: Classification type
kinetics,  Pharmacodynamics:Actions, therapeutic
classification  Adverse, toxic
and the  Pharmacokinetics: absorption, distribution,
principles of
metabolism, interaction, excretion
drug
 Review : Routes and principles of
administration
administration of drugs
 Indian Pharmacopoeia: Legal issues
 Rational use of drugs
 Principles of therapeutics sociology in
Nursing
 Explain Chemotherapy
chemotherap Pharmacology of commonly used;  Lecture  Short
y of specific - Penicillin discussion answers
infections - Cephalosporins  Drug  Objective
and - Aminoglycosides study/ type
infestations - Macrolide & Broad Spectrum antibiotics presen-
and Norse’s - Sulfonamides tation
responsi- - Quinolones
bilities - Antiamoebic
- Antimalarials
- Anthelminitics
II 6 - Antiscabies agents
- Antiviral & anti-fungal agents
- Antitubercular drugs
- Anti leprosy drugs
- Anti cancer drugs
- Immuno – suppressants
Composition, action, dosage, route,
indications, contraindications, drug
interactions, side effects, adverse effects,
toxicity and role of nurse
 Describe Pharmacology of commonly used
Antiseptics, antiseptics, disinfectants and insecticides  Lecture  Short
disinfectants,  Antiseptics: discussion answers
insecticides Composition, action, dosage, route,  Drug  Objective
and nurse’s indications, contraindications, drug study/ type
III 2 responsibiliti interactions, side effects, adverse effects, presenta-
es toxicity and role of nurse tion
 Disinfectants
 Insecticides

48
 Teaching
Time Assessment
Unit Learning Objective Content Learning
(Hrs) methods
Activities
Drugs acting on G.I.system
 Describe Drugs  Pharmacology of commonly used-  Lecture  Short
IV 2 acting Gastro - Antiemetics discussion answers
Intestinal system - Emetics  Drug  Objective
and nurse’s - Purgatives study/present type
responsibilities - Antacids ation
- Cholinergic
- Anticholinergics
- Fluid and electrolyte therapy
- Anti diarrhoeal
- Histamines
Composition, action, dosage, route,
indications, contraindications, drug
interactions, side effects, adverse
effects, toxicity and role of nurse
Drugs used on Respiratory system
 Describe drugs  Pharmacology of commonly used-  Lecture  Short
used on - Antiasthamatics discussion answers
Respiratory - Mucolytics  Drug  Objective
Systems and - Decongestants study/present type
nurse’s - Expectorants ation
2 responsibilities - Antitussives
V
- Bronchodilators
- Broncho constrictors
Antihistamines
Composition, action, dosage, route,
indications, contraindications, drug
interactions, side effects, adverse
effects, toxicity and role of nurse
Drugs used on Urinary System
 Describe Drugs  Pharmacology of commonly used  Lecture  Short
used on Urinary - Diuretics and antidiuretics discussion answers
System and - Urinary antiseptics  Drug  Objective
nurse’s - Cholinergic and anticholinergics study/present type
VI 2
responsibilities - Acidifiers and alkalinizers ation
Composition, action, dosage, route,
indications, contraindications, drug
interactions, side effects, adverse
effects, toxicity and role of nurse
 Describe Drugs Miscellaneous
used in Dead  Drugs used in de-addiction  Lecture  Short
diction,  Drugs used in CPR and emergency discussion answers
emergency,  Vitamins and minerals  Drug  Objective
deficiency of  Immunosuppressants study/present type
vitamins &  Antidotes ation
VII 4 minerals,  Antivenom
poisoning or  Vaccines and sera
immunization and
immuno
suppression and
nurse’s
responsibilities

49
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
 Describe drugs Drugs used on skin and mucous
used on skin membranes  Lecture  Short
and mucous  Topical application for skin, eye, ear, discussion answers
membranes nose and buccal cavity Antipruritics  Drug  Objective
VIII 1
and nurses Composition, action, dosage, route, study/present type
responsibilities indications, contraindications, drug ation
interactions, side effects, adverse effects,
toxicity and role of nurse
 Describe drugs Drugs acting on Nervous system
used on  Basic & applied pharmacology of  Lecture  Short
Nervous system commonly used: discussion answers
and nurse’s  Analgesics and Anaesthetics  Drug  Objective
responsibilities - Analgesics study/present type
Non steroidal anti-inflammatory ation
(NSAID) drugs
- Antipyretics
- Hypnotics and sedatives
- Opioids
- Non-Opioids
- Tranquilizers
- General & local anesthetics
- Gases: Oxygen, nitrous, oxide,
IX carbon-dioxide
8
 Cholinergic and anti-cholinergics:
- Muscle relaxants
- Major tranquilizers
- Anti-psychotics
- Antidepressants
- Anticonvulsants
- Adrenergics
- Noradregencis
- Mood stabilizers
- Acetylcholine
- Stimulants
Composition, action, dosage, route,
indications, contraindications, drug
interactions, side effects, adverse effects,
toxicity and role of nurse
 Describe Cardiovascular drugs
Drugs used on  Haematinics  Lecture  Short
Cardio  Cardiotonics, discussion answers
vascular  Anti anginals  Drug  Objective
system and  Anti-hypertensive Vasodilators study/present type
nurse’s  Anti-arrhythmics ation
5 responsibilities  Plasma expanders
X  Coagulants & anticoagulants
 Antiplatelets & thrombolytics
 Hypolipidemics
Composition, action, dosage, route,
indications, contraindications, drug
interactions, side effects, adverse effects,
toxicity and role of nurse
50
 Teaching
Time Assessment
Unit Learning Objective Content Learning
(Hrs) methods
Activities
 Describe drugs Drugs used for hormonal
used for hormonal disorders and supplementation,  Lecture  Short
disorders and contraception and medical discussion answers
supplementation, termination of pregnancy  Drug  Objective
conception and study/ type
medical termination  Insulin’ and oral hypoglycemics presentation
of pregnancy and  Thyroid supplements and
nurse’s suppressants
responsibilities  Steroids, Anabolics
 Uterine stimulants and relaxants
 Oral contraceptives
 Other estrogen-progestrone
preparations
XI 4
 Corticotrophine &
Gonadotropines
 Adrenaline
 Prostaglandins
 Calcitonins
 Calcium salts
 Calcium regulators

Composition, action, dosage, route,

indications, contraindications, drug
interactions, side effects, adverse
effects, toxicity and role of nurse

 Demonstrate
awareness of the Introduction to Drugs used in  Lecture  Short
common drugs alternative systems of medicine: discussion answers
used in alternative  Observatio  Objective
XII 6
system of medicine  Ayurveda, Homeopathy, Unani nal visits type
and Siddha etc.

51
Pathology and Genetics
Time: Theory – 45 hours (Pathology 30 & Genetics 15 hrs)
Section A – Pathology
Placement: Second year Time: Theory – 30 Hours

Course Description: This course is designed to enable students to acquire knowledge of pathology of various
disease conditions and apply this knowledge in practice of nursing.

Time Teaching
Unit (Hrs) Learning Content Learning Assessment
Objective methods
Th. Pr. Activities
 Define the Introduction
common terms  Importance of the study of  Lecture  Short
I 3 used in Pathology discussion answers
pathology  Definition of terms  Explain  Objective
 Apprentice the  Methods and techniques using charts type
deviations from  Cellular and Tissue changes
normal to  Infiltration and regeneration
abnormal  Inflammations and Infections
structure and  Wound healing
functions of the  Vascular changes
body system
 Cellular grow Neoplasm
- Normal and Cancer cell
- Benign and Malignant growth
- In situ carcinoma
 Disturbances of fluid and
electrolyte imbalance
 Explain Special pathology
pathological  Pathological changes in disease  Lecture  Short
changes in conditions of various systems discussion answers
disease  Respiratory tract  Explain  Objective
conditions of - Tuberculosis, Bronchitis, using type
various Pleural effusion and pneumonia charts,
systems - Lung abcess, emphysema, slides,
Bronchiectasis specimen,
- Bronchial asthma, chronic X-rays and
obstructive Pulmonary disease Scans
& humours  Visit to
 Cardio Vascular system Pathology
- pericardial effusion lab,
- Rheumatic heart disease endoscopy
- Infective endocarditis unit and OT
II 10 5
Atherosclerosis
- Ischemia, infarction &
aneurysm  Gastro Intestinal Tract
- Peptic ulcer, typhoid
- Carcinoma of GI tract-
buccal, Esophageal,
- Gastric & intestinal
 Liver, Gall bladder &
pancreas - Hepatitis, Chronic
liver abscess,
cirrhosis
- Tumours of liver gall bladder and
pancreas
- Cholecystitis
52
 Time Teaching
(Hrs) Learning Assessment
Unit Content Learning
Objective methods
Th. Pr. Activities
 Kidneys & Urinary tract
- Glomerulonephritis, pyelonephritis,  Short
- Calculi, renal failure, renal answers
carcinoma & cystitis  Objective
 Male genital systems type
- Cryptorchidism, testicular atrophy
- Prostatic hyperplasia, carcinoma
Penis & prostate
 Female genital system
- Fibroids
- Carcinoma cervix and Endometrium
- Vesicular mole, choriocarcinoma
- Ectopic gestation
- Ovarian cyst & tumours
 Cancer Breast
Central Nervous system
- Hydrocephalus
- Meningitis, encephalitis
- Vascular disorder – thrombosis,
Embolism
- Stroke, paraplegia, quadriplegia
- Tumours, meningiomas - gliomas
 Metastatic tumour
 Skeletal system
- Bone healing, osteoporosis
osteomyelitis
 Arthritis & tumours
 Describe Clinical pathology
various  Various blood and bone marrow tests  Lecture  Short
laboratory in assessment and monitoring of discussion answers
tests in disease conditions  Demonstr  Objective
assessment - Hemoglobin ation type
and - RBC, White cell & platelet counts  Visit to
monitoring - Bleeding time, clotting time and Clinical
of disease prothrombine time Pathology
conditions - Blood grouping and cross matching &
- Blood chemistry Biochemi
III 4 3 - Blood culture stry lab
- Serological and immunological tests and Blood
- Other blood tests bank
- Examination of Bone marrow
- Methods of collection of blood
specimen for various clinical
pathology, biochemistry,
microbiology tests, inference and
normal values

53
 Time Teaching
(Hrs) Learning Assessment
Unit Content Learning
Objective methods
Th. Pr. Activities
 Describe the Examination of body cavity fluids,
laboratory tests transudates and exudates  Lecture  Short
for  The laboratories tests used in CSF discussion answers
examination of analysis  Demonstration  Objective
body cavity  Examination of other body cavity type
fluids, fluids, transudates and exudates –
transudates sputum, wound discharge etc.
and exudates  Analysis of gastric and duodenal
IV 2 1 contents
 Analysis of semen-sperm count,
motility and morphology and their
importance in infertility
 Methods of collection of CSF and
other cavity fluids specimen for
various clinical pathology,
biochemistry, microbiology tests,
inference and normal values
V 1 1  Describe the Urine and faeces
laboratory tests  Urine  Lecture  Short
for - Physical characteristics discussion answers
examination of - Analysis  Demonstration  Objective
Urine and - Culture and sensitivity type
faeces  Faeces
- characteristics
- Stool examination: occult blood,
ova, parasite and cyst, reducing
substance etc.
 Methods of collection for
various tests, inference and normal
values.

54
Section B- Genetics
Placement: Second year Time: Theory – 15 Hours

Course Description: This course is designed to enable students to acquire understanding of Genetics, its role in
causation and management of defects and diseases.

Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
 Explain Introduction
nature,  Practical application of genetics in  Lecture  Short
principles and Nursing discussion answers
perspectives of  Impact of genetic condition on  Explain  Objective
heredity families using charts, type
 Review of cellular division mitosis slides
and meiosis
 Characteristics and structure of genes
I 3  Chromosomes – sex determination
 Chromosomal aberrations Patterns of
inheritance
- Mendalian theory of inheritance
- Multiple allots and blood groups
- Sex linked inheritance
- Mechanism of inheritance
- Errors in transmission (Mutation)
 Explain Maternal, prenatal and genetic
Maternal, influences on development of defects  Lecture  Short
prenatal and and diseases discussion answers
genetic  Conditions affecting the mother:  Explain  Objective
influences on genetic and infections using charts, type
development  Consanguinity atopy slides
of defects and  Prenatal nutrition and food allergies
diseases  Maternal Age
II 3  Maternal drug therapy
 Prenatal testing and diagnosis
 Effect of Radiation, drugs and
Chemicals
 Infertility
 Spontaneous abortion
 Neural; Tube defects and role of folic
acid in lowering the risks
 Down Syndrome (Trisomy 21)
 Explain the Genetic testing in neonates and
screening Children  Lecture  Short
methods for  Screening for: discussion answers
genetic defects - Congenital abnormalities  Explain  Objective
III 2 and diseases in - Development delay using charts, type
neonates and - Dysmorphism slides
children

55
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
 Identify Genetic conditions of adolescents
genetic and adults  Lecture  Short
disorders in  Cancer genetics – Familiar Cancer discussion answers
adolescents  Inborn errors of metabolism  Explain  Objective
3 and adults  Blood group alleles and using charts, type
heredity haematological disorder slides
IV
 Genetic haemochromatosis
 Huntington’s disease
 Mental illness

 Describe the Services related to Genetics

role of nurse in  Genetic testing  Lecture  Short
genetic  Human genome project discussion answers
services and  Gene therapy  Objective
V 5
counselling  The Eugenics movement type
 Genetic Counselling
Legal and Ethical issues
Role of nurse

56
 Medical Surgical Nursing
(Adult including Geriatrics)-I
Placement: Second Year Time: Theory – 210
Hours
Practical – 720 Hours

Course Description: The purpose of this course is to acquire knowledge and develop proficiency in caring for
patients with medical and surgical disorders in varieties of health care settings and at home

Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities
I 15  Appreciate the Introduction:  Lecture  Short
trends in  Introduction to medical surgical discussion answers
medical and nursing – Evolution and trends of  Demonstration  Objectives
surgical medical and surgical nursing  Practice session type
nursing  Review of concepts of Health and  Supervised  Assessment
 Describe the illness Disease-concepts, causations, clinical practice of skills
role of a nurse classification-International with check
in caring for Classification Disease (ICD-10 or list
adult patient in later version), Acute illness Chronic
hospital and illness & Terminal illness, stages of
community. illness.
 Describe the  Review of concepts of comprehensive
concepts of nursing care in medical surgical
medical conditions based on nursing process.
surgical asepsis  Role of nurse. Patient and family in
care of adult patient
 Role and responsibilities of a nurse in
medical surgical settings.
 Outpatient department
In-patient unit
 Intensive care unit
Home and community settings
 Introduction to medical surgical
asepsis
 Inflammation and Infection
 Immunity
 Wound healing
 Care of surgical patient
 Pre-operative
 Intra operative
 Post operative
Common signs and symptoms and  Lecture  Short
II 15  Describe the management discussion answers
common signs,  Fluid and electrolyte imbalance  Seminar  Objective
symptoms,  Vomiting  Case discussion type
problems and  Dyspnea and cough, respiratory
their obstruction
 Specific  Fever
nursing  Shock
interventions  Unconsciousness, Syncope
 Pain
 Incontinence
 Edema
Age related problems-geriatric

57
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities

Describe the Nursing management (adults including  Lecture  Essay type
III 20 etiology, elderly) with respiratory problems discussion  Short answers
pathos- Review of anatomy and physiology of  Explain using  Objectives
physiology, respiratory system, charts, graphs, type
clinical  Nursing Assessment- History and  Models, films,  Assessment of
manifestation physical assessment slides skills with
s, diagnostic  Etiology, pathophysiology clinical  Demonstration check list
measures and manifestations, diagnosis, treatment  Practice session  Assessment of
management modalities and medical, surgical  Case discussion/ patient
of patients dietetics and nursing management of Seminar management
(adult adults including elderly with -  Health education problem
including  Upper Respiratory tract  Supervised
elderly) with infections clinical practice
disorders of  Bronchitis  Drug book/
respiratory  Asthma presentation
systems  Emphysema
 Empyema
 Atelectasis
 Chronic Obstructive
Pulmonary Diseases (COPD)
 Bronchiectasis
 Pneumonia
 Pulmonary tuberculosis
 Lung abscess
 Pleural effusion
 Cysts and Tumours
 Chest injuries
 Respiratory arrest and
insufficiency
 Pulmonary embolism
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of respiratory
disorders

Describe the Nursing management of patient (adults  Lecture  Essay types
IV 30 etiology, including elderly) with disorders of discussion  Short answers
pathos- digestive system  Explain using  Objectives
physiology, Review of anatomy and physiology of charts, graphs, type
clinical digestive system  Models, films,  Assessment of
manifestation  Nursing Assessment- History and slides skills with
s, diagnostic physical assessment  Demonstration check list
measures and  Etiology, pathophysiology clinical  Practice session  Assessment of
management manifestations, diagnosis, treatment C patient
of patients modalities and medical, surgical  Case discussion/ management
(adult dietetics and nursing management seminar problem
including  Disorders of  Health education
elderly) with Oral cavity- lips, gums, tongue,  Supervised
disorders of salivary glands and teeth clinical practice
digestive  Oesophagus- inflammation,  Drug book/
systems stricture, obstruction, bleeding presentation
and tumors
 Stomach and deudenumhiatus
hernia, gastritis, peptic and
duodenal ulcer, bleeding tumors
Pyloric stenosis
58
Unit Time Learning Content Teaching Assessment
(Hrs) Objectives Learning Methods
Activities
 Small intestinal disorders
inflammation and infection
entritis, malabsorption,
obstruction, tumors and
perforation
Large intestinal disorder Colitis,
inflammation and infection,
obstruction and tumor and lump
 Hernias
Appendix- inflammation, mass,
abscess, rupture
 Anal &Rectum; hemorrhoids,
fissures, fistulas
 Peritonitis/acute abdomen
 Pancreas; inflammation, cyst,
access, and tumors
 Liver, inflammation, cyst,
abscess cirrhosis, portal
hypertension, stones and tumors.
 Gall bladder, inflammation,
obstruction, stones and tumors
Special therapies, alternative therapies
Nursing procedures Drugs used in treatment
of disorders of digestive system

V 30 Describe the Nursing management (adults including  Lecture discussion  Essay
etiology, patho- elderly) with blood and cario vascular  Explain using types
physiology, problems charts, graphs,  Short

clinical Review of anatomy and physiology  Models, films, answers
manifestations, of blood and cardio vascular slides  Objective
diagnostic system,  Demonstration type
measures and  Nursing Assessment- History and  Practice session  Assess
management of physical assessment  Case discussion/ ment of
patients (adults  Etiology, pathophysiology clinical seminar skills with
including manifestations, diagnosis, treatment  Health education check list
elderly) with modalities and medical, surgical  Supervised  Assess
blood and cardio dietetics and nursing management clinical practice ment of
vascular of adults management of –  Drug book/ patient
problems  Vascular system presentation management

Describe the  Hypertension,  Visit to blood problem
vascular  Hypotension bank
conditions and  Arteriosclerosis  Participation in
its nursing  Raynaud’s disease blood donation
management  Aneurism and peripheral camps
vascular disorders  Counseling
Heart
 Coronary artery diseases
- Ischemic heart disease
- Coronary atherosclerosis
- Angina pectoris
- Myocardial infarction

59
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities

Valvular disorders of the heart

Congenital and acquired

Rhematic Heart diseases
 Endocarditis, Pericarditis Myocarditis
 Cardio Myopathies

Cardiac dysrhytumias, Heart Block
 Congestive cardiac failure
Cor-pulmonale, pulmonary edema,
cardiogenic shock, cardiac tamponade
 Cardiac emergencies and arrest
 Cardio Pulmonary Resuscitation (CPR)
 Blood
 Anaemias
 Polueythemia
 Bleeding disorders; clotting
factor defects and platelets
defects
 Thalassemia
 Leukaemias
 Leukopenias and agranulocytosis
 Lymphomas
 Myelomas
 Special therapies
 Blood transfusion, safety checks,
procedure and requirements,
management of adverse transfusion
reaction, records for blood transfusion.
 Management and counseling of
blood donors, phlebotomy procedure,
and post donation management. Blood
bank functioning and hospital
transfusion committee. Bio-safety and
waste management in relation to blood
transfusion
 Role of a nurse Organ donation,
retrieval and banking
Alternative therapies
Nursing procedures
Drugs used in treatment of blood
and cardio vascular disorders

60
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities

VI 10 Describe the Nursing management of patient  Lecture  Essay types
etiology, pathos- (adults including elderly) with discussion  Short
physiology, genitor-urinary problems  Explain using answers
clinical  Review of anatomy and charts, graphs,  Objectives
manifestations, physiology of genito-urinary  Models, films, type
diagnostic system slides  Assessment
measures and  Nursing Assessment- History and  Demonstration of skills with
management of physical assessment  Practice session check list
patients (adult  Etiology, pathophysiology  Case  Assessment
including clinical manifestations, diagnosis, discussion/ of patient
elderly) with treatment modalities and medical, seminar management
disorders of surgical dietetics and nursing  Health education problem
genitor- urinary management of adults  Supervised
system management of – clinical practice
 Nephritis  Drug book/
 Nephrotic syndrome presentation
 Nephrosis
 Renal calculus
 Tumors
 Acute renal failure
 Chronic renal failure

End stage renal disease
 Dialysis, renal transplant
 Congenital disorders, urinary
infections
 Benign prostate hypertrophy

Disorders of ureter, urinary
bladder and urethra-
inflammation, infection, stricture,
obstruction, tumor, prostrate
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of
genitourinary disorders

VII 5 Describe the Nursing management of disorders of  Lecture  Essay types
etiology, patho- male (adults including elderly) discussion  Short
physiology, reproductive system  Explain using answers
clinical  Review of anatomy and physiology charts, graphs,  Objectives
manifestations, of male reproductive system  Models, films, type
diagnostic  Nursing Assessment- History and slides  Assessment
measures and physical assessment  Demonstration of skills with
management of  Etiology, pathophysiology clinical  Practice session check list
patients (adult manifestations, diagnosis, treatment  Case discussion/  Assessment
including modalities and medical, surgical seminar of patient
elderly) with dietetics and nursing management  Health education management
disorders of of adults management of disorders  Supervised problem
male of male reproductive system clinical practice
reproductive  Congenital malformations,  Drug book/
system cryptochidism presentation
 Hyposadiasis, epispadiasis
 Infections
 Testis and adjacent structures

61
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities
 Penis
 Prostate: inflammation, infection,
hypertrophy, tumor
 Sexual Dysfunction
 Infertility
 Contraception
 Breast; gynecomastia, tumor
 Climacteric changes special
therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of male
reproductive system

Describe the Nursing management of patient (adults  Lecture  Essay types
etiology, including elderly) with disorders of discussion  Short
patho- endocrine system  Explain using answers
physiology, Review of anatomy and physiology of charts, graphs,  Objectives
clinical endocrine system,  Models, films, type
manifest-  Nursing Assessment- History and slides  Assessment
tations, physical assessment  Demonstration of skills
diagnostic  Etiology, pathophysiology clinical  Practice session with check
measures manifestations, diagnosis, treatment  Case discussion/ list
and manage- modalities and medical, surgical seminar  Assessme
VIII 10 ment of dietetics and nursing management of  Health nt of
patients adults management of – education patient
(adult ○Disorders of Thyroid and parathyroid  Supervised manage-
including ○ Diabetes mellitus clinical practice ment
elderly) with ○ Diabetes insipidus  Drug book/ problem
disorders of ○ Adrenal tumor presentation
male ○ Pituitary disorders. Special
endocrine therapies, alternative therapies
system Nursing procedures
Drugs used in treatment of disorders of
endocrine system

IX 10 Describe the Nursing management of patient (adults  Lecture  Essay type
etiology, including elderly) with disorders of discussion  Short
patho- Integumentary system  Explain using answers
physiology, Review of anatomy and physiology of charts, graphs,  Objective
clinical Skin and its appendages  Models, films, type
manifestatio  Nursing Assessment- History and slides  Assessment
ns, physical assessment  Demonstration of skills
diagnostic  Etiology, pathophysiology clinical  Practice session with check
measures manifestations, diagnosis, treatment  Case discussion/ list
and manage- modalities and medical, surgical seminar  Assess-
ment of dietetics and nursing management of  Health ment of
patients adults management of disorders of skin education patient
(adults and its appendages-  Supervised manage-
including  Lesions and abrasions clinical practice ment
elderly) with  Infection and infestations;  Drug book/ problem
disorders of Dermatitis presentation
male
reproductive
system

62
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities
Dermatomes; infectious and Non
infections “inflammatory
dermatomes”
 Acne vulgaris
 Allergies and Eczema
 Psoriasis
 Malignant melanoma
 Alopecia
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of
integument system

X 15 Describe the Nursing management of patient (adults  Lecture  Essay types
etiology, including elderly) with musculoskeletal discussion  Short
patho- problems  Explain using answers
physiology, Review of anatomy and physiology of charts, graphs,  Objectives
clinical musculoskeletal system,  Models, films, type
manifestations,  Nursing Assessment- History and slides  Assessment
diagnostic physical assessment  Demonstration of skills
measures and  Etiology, pathophysiology clinical  Practice with check
management manifestations, diagnosis, treatment session c list
of patients modalities and medical, surgical dietetics  Case  Assessme
(adult and nursing management of adults discussion/ nt of patient
including management of – seminar managemen
elderly) with  Disorders of :  Health t problem
disorders of  Muscles, Ligaments and Joints – education
musculo inflammation, infection, trauma  Supervised
skeletal system  Bones- inflammation, infection, clinical
dislocation, fracture, tumor and practice
trauma  Drug book/
 Osteomalacia and osteoporosis presentation
 Arthritis
 Congenital deformities
 Spinal column – defects and
deformities, Tumor, prolapsed
inter vertebral disc, pott’s spine
 Paget’s disease
 Amputation
 Prosthesis
 Transplant & replacement surgeries
 Rehabilitation
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders
of musculoskeletal system.

63
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities

XI 10 Describe the Nursing management (adults including  Lecture  Essay types
etiology, elderly) with Immunological problems discussion  Short
patho- Review of Immune system,  Explain using answers
physiology,  Nursing Assessment- History and charts, graphs,  Objective
clinical physical assessment  Models, films, type
manifestations  Etiology, pathophysiology clinical slides  Assessment
, diagnostic manifestations, diagnosis, treatment  Demonstration of skills
measures and modalities and medical, surgical  Practice session with check
management dietetics and nursing management of  Case discussion/ list
of patients adults management of – seminar  Assess-
(adults  Immunodeficiency disorder.  Health education ment of
including  Primary immuno deficiency.  Supervised patient
elderly) with  Phagocytic dysfunction clinical practice manage-
disorders of  B-cell and T- cell deficiencies  Drug book/ ment
male  Secondary immunodefiencies presentation problem
reproductive  Acquired immunodeficiency syndrome  Orientation visit
system (AIDS) to hospital
Incidence of HIV & AIDS Control system
 Epidemiology
Transmission- Prevention of
Transmission
 Standard Safety precautions
Role of nurse; Counseling
Health education and home care
consideration
National AIDS control program-
NACO, various national and
international agencies
 Infection control program
 Rehabilitation.
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of
immunological system

XII 20 Describe the Nursing management of patient (adults  Lecture  Essay types
etiology, including elderly) with Communicable discussion  Short
patho- Diseases  Explain using answers
physiology, Overview of infectious disease, the charts, graphs,  Objective
clinical infectious process,  Models, films, type
manifestations  Nursing Assessment- History and slides  Assessment
, diagnostic physical assessment  Demonstration of skills
measures and  Epidemiology, infections process,  Practice session with check
management clinical manifestations, diagnosis,  Case discussion/ list
of patients treatment, prevention and dietics, seminar  Assess-
(adult Control and eradication of common  Health education ment of
including Communicable diseases –  Supervised patient
elderly) with  Tuberculosis clinical practice manage-
communi-  Diarrhoeal diseases  Drug book/ ment
cable  Hepatitis A-E presentation problem
diseases.  Herpes
 Chickenpox
 Smallpox
 Typhoid
 Meningitis

64
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities
 Gas gangrene
 Leprosy
 Dengue
 Plague
 Malaria
 Diphtheria
 Pertussis
 Poliomyelitis
 Measles
 Mumps
 Influenza
 Tetanus
 Yellow fever
 Filariasis
 HIV, AIDS
 Reproductive Tract infections
 Special infection control measures;
Notification, Isolation, Quarantine,
Immunization, infectious Disease
Hospitals
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of communicable
diseases.

XIII 25 Describe the Peri Operative nursing:  Lecture  Essay
Organization Organization and Physical set up of discussion types
and physical the Operation Theatre (OT):  Explain using  Short
set up of  Classifications charts, graphs, answers
operation the  O.T. DESIGN  Models, films,  Objective
ration theatre  Staffing slides type

Identify the  Members of the OT team  Demonstration  Assess-
various  Duties and responsibilities of  Practice ment of
instruments nurse in O.T. session skills with
and  Principles of Health and  Case discussion check list
equipments operating room attire.  Supervised
used for used  Instruments, clinical practice
for common  Sutures and suture materials  Drug book/
surgical  Equipments presentation
procedures  O.T. tables and sets for

Describe the common surgical procedures
infection  Positions and draping for
control common surgical procedures
measures in  Scrubbing procedures
the operation  Growing and gloving
theatre  Preparation of O.T sets
Monitoring the patient during
surgical procedures

65
 Teaching Assess-
Time Learning
Unit Content Learning ment
(Hrs) Objectives
Activities Methods
 Describe the  Maintenance of therapeutic environment in
role of the O.T
nurse in the  Standard safety measures
peri operative
nursing care  Infection control: fumigation,
disinfection and sterilization
 Biomedical waste management
Prevention of accidents and hazards
on O.T
 Anesthesia
 Types
 Method of administration
 Effects and stage
 Equipments
 Drugs
Cardio Pulmonary Resuscitation (CPR)
 Pain management techniques
 Legal Aspects

66
Medical Surgical Nursing
(Adult including Geriatrics)–I Practical
Placement: Second year Time : 720 Hours

Durati
Assessment
Areas on (in Objectives Skills Assignment
week) Methods
  
General 6 Provide Assessment of the patient Plan and give  Assess
Medical nursing care to  Taking history care to 3-4 performance
Ward adult patients  Perform general and assigned with rating
(*Resp- with medical specific physical patients scale

iratory), disorders examination. Nursing care  Assess each

GI, Counsel and  Identify alternations and plan-2 skill with

Endo- educate deviations Nursing case checklist

crine, patients and Practice medical surgical asepsis- study/  Evaluation of
Renal, families standard safety measures presentation-1 case study
 
Hemo- Administer medications Drug presentation
tology)  Oral, IV, IM, presentation-1  Completion

Subcutaneous Maintain drug practical

IV therapy book record.

 IV therapy Maintain
 Maintenance and practical record
monitoring book
 Oxygen therapy by
different methods
 Nebulization
 Chest Physio therapy
 Naso gastric feeding
 Assist in common diagnostic
 Perform/ Assist in
therapeutic procedures
 Blood and component therapy
 Throat Suctioning
 Collect specimens for
common investigations.
 Maintain elimination
 Catheterization
 Bowel wash
 Enema
 Urinary drainage
 Maintain intake,
output and documentation
 Counsel and teach
related to specific disease
conditions

67
 Durati Assessment
Areas on (in Objectives Skills Assignment Methods
week)
  
General 6 Provide pre and Practice medical surgical Plan and give  Assess
surgical post operative aspects- standard safety care to 3-4 performance
ward nursing care to measures. assigned with rating

(GI, adult patients with Pre operative preparation of patients scale

Urinary, surgical disorders patients Nursing care  Assess each
 
CTVS) Counsel and Post operative care- Receiving plan-2 skill with

educate patients pt, assessment, monitoring care Nursing case checklist

and families Care of wounds and drainage study/  Evaluation

Suture removal presentation-1 of case study
 
Ambulation and exercise Drug presentation

Naso gastric aspirations presentation-1  Completion
 
Care of chest drainage Maintain drug of activity

Ostomy care book record.
 Gastrostomy
 Colostomy
 Enterostomy

Blood and component therapy

Practice universal precautions
  
Cardiolo 2 Provide nursing Physical examination of the Plan and give  Assess
gy ward care to patients cardio vascular system care to 3-4 performance
with cardiac Recording and interpreting ECG assigned with rating

disorders Monitoring of patients patients scale
  
Counsel and Preparation and assisting in non- Nursing care  Assess each
educate patients invasive and non-invasive plan-2 skill with

and families diagnostic procedures Nursing case checklist

Administer cardiac drugs study/  Evaluation

Cardio pulmonary Resuscitation presentation-1 of case study
 
Teach patients and families Drug presentation/

Practice medical and surgical presentation-1 health talk

asepsis- Maintain drug  Completion
Standard safety measures book of activity
record.
  
Skin & 1 Identify skin Assessment of patients with skin Plan and give  Assess
commun problems disorders care to2-3 performance
 
icable Provide nursing Assist in diagnostic and assigned with rating
diseases care to patients therapeutic procedures patients scale
 
ward with skin Administer topical medication Health  Evaluation

disorders & Practice medical surgical talk/Counseling health talk/
communicable asepsis- HIV positive Counseling
diseases Standard safety measures patients and session
 
Counsel and Use of personal protective families-1  Completion

educate patients equipments (PPE) Maintain drug of activity

and families Give medicated baths book record

Counseling HIV positive patients

Teach prevention of infectious
diseases.

68
 Durati Assessment
Areas on (in Objectives Skills Assignment Methods
week)
  
Ortho 2 Provide nursing care Assessment of orthopedic Plan and give  Assess
pedic to patients with patients care to 2-3 performance

ward muscular- skeletal Assist in application of plaster assigned patients with rating
 
Counsel and educate cast and removal of cast Nursing care scale

patients and families Apply skin traction buck’s plan-1  Evaluation

extension traction. Nursing case of nursing

Assist in application and study/ care plan and
removal of prosthesis presentation-1 Nursing case
 
Physiotherapy – Range of Maintain drug study/
motion exercise (ROM), book presentation
muscle strengthening  Completion
exercises of activity

Crutch maneuvering record
technique.

Activities of daily living

Ambulation

Teach and counsel patients
and families
  
Opera 6 Identify instruments Scrubbing, gowning, gloving Assist as a  Assess

tion used in common Identify interments suturing circulatory nurse performance
Theat operations materials for common in with rating
 
re Participate in operations Major cases – 10 scale
 
infection control Disinfection, Carbolization Minor cases -5  Completion

practices in the fumigation Assist as a scrub of activity

operation Theatre Preparation of instrument sets nurse in record
 
Set-up the table / for common operations Major case – 10
 
trolleys for common Sterilization of sharps and Minor cases -5

operative other instruments Maintain drug

procedures Prepare the OT table book

Assist in giving depending upon the operation

anesthesia Positioning and monitoring of

Assist in the patients

operative End tracheal intubation

procedures Assisting in minor operations.
 
Provide peril Handling specimens

operative nursing Disposal of waste as per the
care guidelines.

69
Internship
Durati
Assessment
Areas on (in Objectives Skills Assignments
Methods
week)
  
2 To gain proficiency in Assist in arterial Arterial  Record
ICU, ICU nursing puncture for blood gas puncture -5 book
 
CCU, Develop advance skill in analysis. Taking out  Checking
CAR 
special procedures used Perform ECG and ECG strip -5 with
DIAC 
OT in critical care unit interpret accordingly. Tracheal supervisor
 
Identify potential Conduct and analysis suction -5

problems and provide pulse oximetry. For all assigned

accordingly, Care with artificial patients
 
Skill in setting and airway. Oxygen

handling ventilator Assist In endotracheal administration

Administer injection in intubations by CPAP mask

infusion pump. Setting up ventilator. and use Ambu
 
Record accurately Giving care in ventilator. bag.
 
findings and Drug sheet Assessment for

medications. Observation of special all assigned

Develop IPR with procedure in OT patients

family members. Nursing care in

Acquaint with OT ventilator.

technique. Drug sheet.
  
Neuro 2 Develop skill in Assess neurological Assessment for  Record
ICU, neurological assessment. status. all assigned book.
 
ITU, Give care to the pt with Implement care to head patients  Observati

OT head injury and spinal injury patients Nursing care on

injury. Drug sheet plan-2 checklist.
  
Care with chest surgery Pre and postoperative Drug sheet
and cranial surgery. care with neuro surgery
patients.
 
Burns 2 Assess the severity of Nursing care
and burns.

plastic Administer dehydration
Reconst therapy.

eutive Observe reconstructive
surgery surgery.
 
OT 3 Identify instruments Assist -5 cases.  Record

Lapro- Assist in OT set UP book

scopic Supervise sterilization

Ortho- Assist in OT table lay
pedic out

Eye Observe immediately
ENT after operation.

Supervise infection
control.

70
 Community Health Nursing - I
Placement: Second Year Time: Theory – 90
hours
Practical – 135 hours

Course Description: This course is designed for students to appreciate the principles of promotion and
maintenance of health.

Teaching
Un Time Learning Assessment
Content Learning
it (Hrs) Objectives Methods
Activities
I 2  Describe the Introduction:  Lecture  Short
concepts and ● Community health nursing discussion answers
dimensions of ● Definition, concept and dimensions
health of health
● Promotion of health
● Maintenance of health
II 20  Describe Determinants of health  Lecture  Essay type
determinations of ● Eugenics discussion  Short
health ● Environment;  Explain using answers
 Physical: Air, light, charts,  Objective
Ventilation, Water, housing, graphs, type
Sanitation; disposal of a waste, Models,
disposal of dead bodies, films, slides
forestation, notice, Climate,
Communication: infrastructure  Visits to
facilities and linkages. water supply,
 Acts regulating the sewage
environment: National disposal, milk
pollution control board plants,

Bacterial & viral: Agents, host slaughter
carriers and immunity house etc.
 Arthropods and Rodents
● Food hygiene: production,
preservation, purchase, preparation,
consumption
● Acts regulating food hygiene
prevention of food adulteration act,
drugs and cosmetic act
● Socio- cultural

Customs, taboos

Marriage system

Family structure

Status of special groups:
Females, Children, Elderly,
challenged groups and sick
persons
● Life style
● Hygiene
● Physical activity
 Recreation and sleep
 Sexual life
 Spiritual life philosophy
 Self reliance
 Dietary pattern
 Education
 Occupation

71
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities
● Financial Management
 Income
 Budget
 Purchasing power
 Security
III 10  Describe Epidemiology  Lecture discussion  Essay type
concept, ● Definition, concept, aims, scope,  Explain using  Short
Scope, uses, used and terminology used in charts, graphs, answers
methods and epidemiology Models, films,
approaches of ● Dynamics of disease transmission; slides
epidemiology epidemiological triad
● Morbidity and mortality:
measurements
● Level of prevention
● Methods of epidemiology of
 Descriptive
 Analytical: Epidemic
investigation
 Experimental
IV 25  Describe Epidemiology and nursing  Lecture discussion  Essay type
epidemiology management of common  Explain using  Short
and nursing communicable diseases charts, graphs, answers
management ● Respiratory infections Models, films,  Objective
of common  Small pox slides type
communi-  Chicken box  Seminar
cable diseases  Measles  Supervised field
 Influenza practice health
 Rubella centers, clinics and
 Air’s & Pneumonia homes
 Mumps  Group projects/
 Diphtheria Health education
 Whooping cough
 Meningococcal meningitis
 Tuberculosis
 SARS
● Intestinal infections
 Poliomyelitis
 Viral hepatitis
 Cholera
 Diarrhea diseases
 Typhoid fever
 Food poisoning
 Amoebiasis
 Hook worm infection
 Ascariasis
 Dracunculiasis
● Arthropod infections
 Dengue
 Malaria
 Fliariasis
 Zoonoses

72
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities
Viral
 Rabies
 Yellow fever
 Japans encephalitis
 Kyasnur Forest Disease
● Bacterial
 Brucellosis
 Plague
 Human Salmonellosis
 Anthrax
 Leptospirosis
● Rickettisial diseases
 Rickettial Zoonoses
 Scrub typhus
 Murine typhus
 Tick typhus
 Q fever
● Parasitic zoonoses
 Taeniasis
 Hydrated disease
 Leishumaniasis
● Surface infection
 Trachoma
 Leprosy
 STD & RTI
 Yaws
 HIV/Aids
Any other
V 10  Describe Epidemiology and nursing  Lecture  Essay type
epidemio management of non-communicable discussion  Short
logy and diseases  Explain using answers
nursing  Malnutrition: under charts, graphs,  Objective
manage- nutritional over nutrition, Models, films, type
ment of nutritional deficiencies slides
common  Anaemia  Seminar
non-  Hypertension  Supervised
communi  Stroke field practice
cable  Rheumatic. Heart diseases health centers,
disease  Coronary Heart Diseases clinics and
 Cancer homes
 Diabetes mellitus  Group projects/
 Blindness Health
 Accidents education
 Mental illness
 Obesity
 Iodine Deficiency
 Fluorosis
 Epilepsy

73
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities
VI 6  Describe Demography  Essay type

concepts and Definition, concepts and scope  Lecture  Short answers

scope of Methods of collection, analysis discussion  Objective type
demography and interrelation of  Community  Assessment of
 Describe demographic data identification Survey report
methods of data  Demographic rates and ratios survey
collection,
analysis and
interrelation of
demographic
data
VII 17  Identify the Population and its control  Lecture  Essay type
impact of  Population explosion and its discussion  Short answers
population impact on social, economic  Population  Objective type
explosion in development of individual, survey  Assessment of
India society and country.  Counseling survey report
 Describe  Population control: Women  Demonstration
methods of empowerment, social,  Practice
population economic and educational session
control development  Supervised
 Limiting family size field practice
 Promotion of small
family norm
 Methods: spacing
(natural, biological,
chemical, mechanical
methods etc)
 Terminal: surgical
methods
 Emergency contraception

74
Community Health Nursing I - Practical
Placement: Second year Time: Practical - 135 Hours

Durati Assessment
Areas on (in Objectives Skills Assignment Methods
week)

Commu 2 wks ● Build and ● Use Techniques of To work with 2  Assess
nity urban maintain interpersonal relationship assigned families performance
health and 2 rapport each in urban and with rating
nursing wks ● Identify ● Identification of health rural scale

rural demographic determinants of community Family study-1  Assess each

characteristics ● History taking Observation skill with
health ● Physical examination report of check list
determinants ● Collect specimens-sputum, community -1  Evaluation

and malaria smear Health talks 2 ( 1 of family
community ● Perform simple lab tests at in urban and in study
health centre-blood for hemoglobin rural) observation
resources and sugar, urine for albumin report and
● Diagnose and sugar health talk
health needs ● Administer vaccines and  Completion
of individual medications to adults of activity
and families ● Counsel and teach individual, record.
● Provide family and community
primary care  Nutrition
in health  Hygiene
centre  Self health monitoring
● Counsel and  Seeking health services
educate  Healthy life style
individual,  Family welfare methods
family and  Health promotion
community

75
Communication & Educational Technology
Placement: Second year Time: Theory – 90 Hours

Course Description: This course is designed to help the students acquire an understanding of the principles and
methods of communication and teaching. It helps to develop skill in communicating effectively, maintaining
effective interpersonal relations, teaching individuals and groups in clinical community health and educational
settings

Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objective methods
Th. Pr. Activities
 Define the Review of communication Process  Lecture  Respond
communication  Process : elements and channel discussion to critical
process  Facilitators  Role plays incidents
I 5  Identify  Barriers and methods of  Exercises  Short
techniques of overcoming with answers
effective  Techniques audio/video  Objective
communication tapes type
 Establish Interpersonal relations  Lecture
effective inter- discussion  Short
personal  Purpose & types  Role plays answers
relations with  Phases  Exercises  Objective
II 5
patients, families  Barriers & methods of with type
& Co-workers overcoming audio/video
 Johari Window tapes
 Process
recording
 Develop Human relations  Lecture  Short
effective human discussion answers
relations in  Understanding self  Sociometry  Objective
context of  Social behaviour, motivation,  Group games type
nursing social attitudes  Psychometric  Respond
III 5  Individual and groups exercises to test
 Groups & individual followed by based on
 Human relations in context of discussion critical
nursing incidents
 Group dynamics
 Team work
 Develop basic Guidance & counselling  Lecture  Short
skill of discussion answers
counselling and  Definition  Role play on  Objective
guidance  Purpose, scope and need counselling in type
 Basic principles different  Assess
 Organization of counselling situations performan
services followed by ce in role
IV 10 5  Types of counselling approaches discussion play
 Role and preparation of counselor situations
 Issues for counselling in nursing:
students and practitioners
 Counselling process-steps &
techniques, tools of counselor
 Managing disciplinary problems
 Management of crisis & referral

76
 Time Teaching
Unit (Hrs) Learning Content Learning Assessment
Objective methods
Th. Pr. Activities
 Describe the Principles of education & teaching
philosophy & learning process  Lecture  Short
principles of  Education : meaning, philosophy, discussion answers
education aims, functions & principals  Prepare lesson  Objective
 Explain the  Nature and characteristics of plan type
teaching learning  Micro  Assess
V 5
learning process  Principles and maxims of teaching lesson
teaching  Exercise on plans &
 Formulating objectives; general writing teaching
and specific objectives sessions
 Lesson planning
 Classroom management
 Demonstrate Methods of teaching
teaching skill  Lecture, demonstration, group  Lecture  Short
using various discussion, seminar symposium, discussion answers
teaching panel discussion, role play,  Conduct 5  Objective
methods in project, field trip, workshop, teaching type
clinical exhibition, programmed, sessions using  Assess
classroom and instruction, computer assisted different teaching
VI 10 10 community learning, micro teaching problem methods & sessions
settings based learning. Self instructional media
module and simulation etc.
 Clinical teaching methods: case
method, nursing round &reports,
bedside clinic, conference
(individual & group) process
recording
 Prepare and use Educational media
different type of  Purposes & types of A.V. Aids,  Lecture  Short
educational principles and sources etc. discussion answers
media  Graphic aids, chalk board, chart,  Demonstration  Objective
effectively graph, poster, flash cards, flannel  Prepare type
bulletin, cartoon different  Assess
 Three dimensional aids: objects, teaching aids – teaching
specimens, models, puppets projected & aids
VII 10 8
 Printed aids: pamphlets & leaflets non projected prepared
 Projected aids: slides, overhead
projector. Films, TV,
VCR,/VCD, camera, microscope,
LCD
 Audio aids: tap recorder, public
address system
 Computer

77
 Time Teaching
(Hrs) Learning Assessment
Unit Content Learning
Objective methods
Th. Pr. Activities
 Prepare Assessment
different types  Purpose and scope of evaluation  Lecture  Short
of questions for and assessment discussion answers
assessment of  Criteria for selection of  Exercise  Objective
knowledge, assessment techniques and on writing type
skills and methods different  Assess the
attitudes  Assessment of knowledge: essay types of strategies
type questions, Short answer assessment used in
VIII 5 7
questions(SAQ), Multiple tools practice
Choice Questions(MCQ) teaching
 Assessment of skills: observation sessions
checklist practical exam, Viva, and
Objective structured clinical exercise
examination (OSCE) sessions
 Assessment of attitudes: Attitude
scales
 Teach Information, Education &
individuals , communication for health (IEC)  Lecture  Short
groups and discussion answers
communities  Health behaviour & health  Plan &  Objective
about health education conduct health type
with their  Planning for health education education  Assess the
5 active  Health education with sessions for planning &
IX participation individual, groups & individuals, conduct of
communities group & the
 Communicating health communities educational
messages session
 Methods & media for
communicating health messages
 Using mass media

78
Medical Surgical Nursing
(Adult including Geriatrics)-II
Placement: Third Year Time: Theory – 210
hours
Practical – 270 hours

Course Description: The purpose of this course is to acquire knowledge and develop proficiency in caring for
patients with medical and surgical disorders in varieties of health care settings and at home

Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities

I 15 Describe Nursing management of patient with  Lecture  Essay types
the disorders of Ear nose and Throat discussion  Short
etiology,  Review of anatomy and physiology of the  Explain using answers
patho- Ear Nose and Throat- charts, graphs,  Objectives
physiolo  Nursing Assessment- History and physical  Models, films, type
gy, assessment slides  Assessment
clinical  Etiology, pathophysiology clinical  Demonstration of skills
manifest manifestations, diagnosis, treatment  Practice session with check
ations, modalities and medical & surgical  Case discussion/ list
diagnost nursing management of Ear Nose and seminar  Assessment
ic Throat disorders:  Health education of patient
measure  External ear – deformities 9  Supervised manageme
s and otalgia, foreign bodies, and clinical practice nt problem
manage tumours  Drug book/
ment of  Middle ear - impacted wax, presentation
patients Tympanic membrane perforation,
with otitis media, otoscleorsis,
disorder mastoiditis, tumours
s of Ear  Inner ear- Meniere’s Diseases,
Nose labyrinthitis, ototoxicity, tumours
and  Upper airway infection – common
Throat cold, sinusitis, ethnicities, rhinitis,
peritonsilar abscess, laryngitis
 Upper airway infections –
Common cold, sinusitis, ethinitis, rhinitis,
pharyngitis, tonsillitis and adenoiditis,
peritionsilar abcess, laryngitis
 Upper respiratory airway - epistaxis,
 Nasal obstruction, laryngeal obstruction,
cancer of the larynx
 Cancer of the oral cavity
 Speech defects and speech therapy
 Deafness -
 Prevention, control and rehabilitation
 Hearing Aids, implanted hearing devices
Special therapies
Nursing procedures
Drugs used in treatment of disorders of
Ear nose and Throat
Role of nurse communicating with
haring impaired and muteness

79
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities

II 15 Describe the  Lecture discussion  Essay
etiology, patho- Nursing management of patient with  Explain using type
physiology, disorders of Eye charts, graphs,  Short
clinical Review of anatomy and physiology  Models, films, answers
manifestations, of the Eye slides  Objective
diagnostic  Nursing Assessment- History and  Demonstration type
measures and physical assessment  Practice session  Assess-
management of  Etiology, pathophysiology clinical  Case discussion/ ment of
patients with manifestations, diagnosis, treatment seminar skills
disorders of modalities and medical& surgical  Health education with
Eye. dietetics and nursing management  Supervised clinical check
of adults management of eye practice list
disorders  Drug book/  Assess-
 Refractive errors presentation ment of
 Eyelids- infection, tumors  Visit to eye bank patient
and deformities  Participation in manage
 Conjunctiva – eye camps ment
inflammation and infection, problem
bleeding
 Cornea- inflammation and
infection
 Lens- Cataracts
 Glaucoma
 Disorder of the uveal tract,
 Ocular tumours
 Disorders of posterior
chamber and retina: Retinal
and vitreous problems.
 Retinal detachment
 Ocular emergencies and
their prevention
 Blindness
 National blindness control program
 Eye banking
 Eye prostheses and
Rehabilitation
Role of nurse communication with
visually impaired patient, Eye camps.
Special therapies
Nursing procedures
Drugs used in treatment of disorders of
eye

80
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities

III 15 Describe the Nursing management of patient with  Lecture  Essay types
etiology, neurological disorders discussion  Short
patho-  Review of anatomy and physiology of the  Explain answers
physiology, neurological system using charts,  Objective
clinical  Nursing Assessment- History and physical graphs, type
manifestatio and neurological assessment and  Models,  Assessment
ns, Glasgow coma scale films, slides of skills with
diagnostic  Etiology, pathophysiology clinical  Demonstra- check list
measures manifestations, diagnosis, treatment tion  Assessment
and modalities and medical & surgical  Practice of patient
management nursing management of neurological session manage-ment
of patients disorders  Case problem
with  Congenital malformations discussion/
neurological  Headache seminar
disorders.  Head injuries  Health
 Paraplegia education
 Hemiplegia  Supervised
 Quadriplegia clinical
 Spinal cord compression-herniation of practice
intervertebral disc  Drug book/
 Tumors of the brain & spinal cord presentation
 Intra cranial and cerebral aneurysms  Visit to
 Infections: rehabilitation
 Meningitis, Encephalitis, centre
Brain abscess,
neurocysticercosis
 Movement of disorders
 Chorea
 Seizures
 Epilepsies
 Cerebro vascular Accidents (CVA)
 Carnial, Spinal Neuropathies- Bell’s
palsy, trigeminal neuralgia
 Periphereral Neuropathies: Guillain-
Barr’e Syndrome
 Myasthenia gravis
 Multiple sclerosis
 Degenerative diseases
 Delirium
 Dementia
 Alzheimer’s diseases
 Management of unconscious
patients with stroke
Role of the nurse in
communicating with patient
having neurological deficit
Rehabilitation of patients with
neurological deficit
Role of nurse long stay facility (institutions
and at home
Special therapies
Nursing procedures
Drugs used in treatment of neurological
disorders

81
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities

IV 16 Describe the Nursing management of patients with  Lecture  Essay types
etiology, patho- disorders of female reproductive system discussion  Short
physiology, Review of anatomy and physiology of  Explain answers
clinical the reproductive system using  Objectives
manifestations,  Nursing Assessment- History and charts, type
diagnostic physical assessment graphs,  Assessment
measures and  Breast self Examination  Models, of skills with
management of  Etiology, pathophysiology clinical films, slides check list
patients with manifestations, diagnosis, treatment  Demonstrat  Assessment
disorders of modalities and medical & surgical ion of patient
female nursing management of disorders of  Practice management
reproductive female reproductive system session problem
system  Congenital abnormalities of female  Case

Describe reproductive system discussion/
concepts of  Sexuality and Reproductive Health seminar
reproductive  Sexual Health Assessment  Health
health and  Menstrual disorders: Dysmenorrhea education
family welfare Premenstrual Syndrome  Supervised
program  Abnormal Uterine Bleeding: clinical
Menorrhagia, Metrorrhagia practice
 Pelvic Inflammatory Disease-  Drug book/
Ovarian and fallopian tube disorders: presentatio
infections, cysts, tumors n
 Uterine and cervical disorders;
Endometriosis, polyps, Fibroids,
Cervical and uterine tumors,
uterine displacement, Cystocele/
Urethrocele/Rectocele
 Vaginal disorders, infections
and discharge, Fistulas
 Vulvur disorders; infections,
cysts, tumours
 Diseases of breasts; Deformities,
infections, cysts and Tumours
 Menopause and Hormonal Replacement
Therapy
 Infertility
 Contraception; types methods, risk
and effectiveness
 Spacing Methods
 Barrier methods, intera,
Uterine Devices, Hormonal,
Post Concep-
tional Methods, etc
 Terminal methods
 Sterilization
 Emergency contraception methods
 Abortion- Natural, medical and
surgical abortion – MTP Act
 Toxic Shock Syndrome
 Injuries and Trauma; Sexual
violence Special therapies
Nursing procedures
Drugs used in treatment of
gynecological disorders
National family welfare
programme 82
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities

V 10 Describe the Nursing management of patient with burns,  Lecture  Essay types
etiology, reconstructive and cosmetic surgery discussion  Short
patho-  Review of anatomy and physiology of the  Explain using answers
physiology, skin and connective tissues and various charts, graphs,  Objective
clinical deformities  Models, films, type
manifestation Nursing Assessment- History and physical slides  Assessment
s, diagnostic assessment and assessment of burns and  Demonstration of skills
measures and fluid and electrolyte loss  Practice with check
management  Etiology, Classification, pathophysiology session list
of patients clinical manifestations, diagnosis,  Case  Assessment
with burns, treatment modalities and medical, & discussion/ of patient
reconstruct- surgical nursing management of Burns and seminar manage-
tive and Re-constructive and cosmetic surgery,  Health ment
cosmetic Types of Re-constructive and cosmetic education problem
surgery surgery; for burns, congenital deformities,  Supervised
injuries and cosmetic purposes clinical
 Role of nurse practice
 Legal aspects  Drug book/
 Rehabilitation presentation
 Special therapies
- Psycho social aspects
Nursing procedures
Drugs used in treatment of burns, reconstructive
ad cosmetic surgery

VI 10 Describe the Nursing management of patients with  Lecture  Essay types
etiology, oncological conditions discussion  Short
patho- Structure & characteristics of normal &  Explain using answers
physiology, cancer cells charts, graphs,  Objective
clinical  Nursing Assessment- history and physical  Models, films, type
manifestation assessment slides  Assessment
s, diagnostic  Prevention, screening, Early detection,  Demonstration of skills
measures and Warning signs of cancer  Practice with check
management Epidemiology, Etiology, classification, patho session list
of patients physiology staging, clinical manifestations,  Case  Assessment
with diagnosis, treatment modalities and discussion/ of patient
oncology medical & surgical nursing management of seminar manageme
oncological conditions  Health nt problem
Common malignancies of various body education
system: oral, Larynx, lung, stomach and  Supervised
Colon, Liver, Leukemias and lymphomas, clinical
Breast, Cervix, Ovary, Uterus, Sarcoma, practice
Brain, Renal, Bladder, Prostate etc.  Drug book/
presentation

83
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities
 Oncological emergences
 Modalities of treatment
 Immunotherapy
 Chemotherapy
 Radiotherapy
 Surgical interventions
Stem cell and Bone marrow
transplants
 Gene therapy
Other forms of treatment
Psychosocial aspects of cancer
 Rehabilitation
Palliative care; Symptom and pain
Management, nutritional support
 Home care
 Hospice care
 Stomal therapy
 Special therapies
Psycho social aspects
 Nursing procedures

VII 10 Describe Nursing management of patient in  Lecture  Essay type
organizati EMERGENCY & DISASTER situations discussion  Short
on of Disaster Nursing  Explain using answers
emer-  Concepts and principles of Disaster Nursing charts, graphs,  Objective
gency and  Causes and Types of Disaster Natural and  Models, films, type
disaster man-made slides  Assessment
care  Earthquakes, Floods, Epidemics,  Demonstration of skills
services Cyclones  Practice with check

Describe  Fire, Explosion, Accidents session list
the role of  Violence, Terrorism, bio-chemical,  Case  Assessment
nurse in War discussion/ of patient
disaster -  Policies related to emergency/disaster seminar manage-

Describe management; International, national state,  Health ment
the role of institutional education problem
nurse in  Disaster preparedness  Supervised
manage-  Team, Guidelines, protocols, Equipments, clinical
ment of Resources practice
common  Coordination and involvement of;  Drug book/
Emer- Community, various govt. departments, presentation
gencies non-government organizations and
international agencies
Role of nurse working
Legal aspects of Disaster nursing
Impact on Health and after effects Post
Traumatic stress Disorder
 Rehabilitation; physical, psychosocial,
Financial, Relocation

84
 Teaching Assess-
Time Learning
Unit Content Learning ment
(Hrs) Objectives
Activities Methods
Emergency Nursing
 Concept, priorities, principles and scope
of emergency nursing
 Organization of emergency services;
physical setup, staffing equipment and
supplies, protocols, concepts of triage
and role of triage nurse
 Coordination and involvement of
different departments and facilities
 Nursing assessment-History and
physical assessment
 Etiology; pathophysiology, clinical
manifestations, diagnosis, treatment
modalities and medical & surgical
nursing management of patient with
medical and surgical Emergency
 Principles of emergency management
 Common Emergencies
 Respiratory Emergencies
 Cardiac Emergencies
 Shock and hemorrhage
 Pain
 Poly- Trauma, road accidents,
crush injuries, wound
 Bites
 Poisoning; Food, Gas, Drugs &
chemical poisoning
 Seizures
 Thermal emergencies: Heat stroke &
cold injuries
 Pediatric emergencies
 Obstetric emergencies
 Violence, Abuse, Sexual assault
 Cardio pulmonary Resuscitation
 Crisis intervention
 Role of the nurse: communication and
inter personal relations
 Medico-Legal aspects;

VIII 10 Explain the Nursing care of the elderly  Lecture  Essay
concept and  Nursing Assessment – History and physical discussi types
problems of assessment on  Short
aging  Ageing  Explain answer

Describe  Demography, Myths and realities using s
nursing care of  Concepts and theories of ageing charts,  Objectiv
the elderly  Cognitive aspects of ageing graphs, e type
 Normal biological ageing  Models,
Age related body systems changes films,
Psychosocial aspects of ageing slides
 Medications and elderly  Demon
stration

85
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities
Common Health problems & Nursing
management;
 Cardiovascular, Respiratory,
musculoskeletal
Endocrine, genito–urinary,
gastrointestinal
Neurological, skin and other sensory
 Practice session
organs  Assess-
 Case
- Psychosocial and sexual ment of
discussions/
- Abuse of elderly skills with
seminar
Role of nurse for care of elderly: check list
 Health
ambulation, nutritional, communicational,  Assess-
education
psychosocial and spiritual ment of
 Supervised
 Role of nurse for care givers of elderly patient
clinical practice
 Role of family and formal and non formal 
manage-
Drug book/
caregivers ment
presentation
Use of aids and prosthesis (hearing aids, problem
dentures,
Legal & Ethical issues
Provisions and programs for elderly,
privileges, Community programs and
health services;
Home and institutional care


IX 10 Describe Nursing management of patient in critical  Lecture  Essay types
organiza- care units discussion  Short
tion of  Nursing assessment History And physical  Explain using answers
critical assessment charts, graphs,  Objective
care units  Classifications  Models, films, type

Describe  Principles of critical care nursing slides  Assessment
the role of  Organization; Physical setup, Policies,  Demonstration of skills
nurse in staffing norms  Role plays with check
disaster  Protocols, equipment and supplies  Counseling list
manage-  Special equipments; ventilators, cardiac  Practice session  Assessment
ment of monitors, defibrillators  Case discussion/ of patient
patients  Resuscitation equipments seminar manage-
critical  Infection control protocol  Health education ment
care units  Nursing management of critically ill  Supervised problem
patients; clinical practice
 Monitoring of critically ill patient  Drug book/
CPR–Advance Cardiac Life support presentation
 Treatment and procedures
 Transitional care
Ethical and Legal Aspects
Communication with patient and family
 Intensive care records
 Crisis intervention
Death and Dying-coping with
Drugs used in critical care unit

86
 Teaching Assess-
Time Learning
Unit Content Learning ment
(Hrs) Objectives
Activities Methods

X 8 Describe the Nursing management of patients in adults
etiology, patho- including elderly with occupational and
physiology, industrial disorders
clinical  Nursing assessment history and physical
manifestations, assessment
diagnostic  Etiology, Pathophysiology, clinical
measures and manifestations, diagnosis, diagnosis,
management of treatment modalities and medical &
patients with surgical nursing management of
occupational and occupational and industrial health
industrial health disorders
disorder  Role of nurse
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of occupational and
Industrial disorders

XI  Biomedical waste management:

 Introduction and meaning
 Waste Hazards
- Occupation hazards
- Environmental Hazards
- Public Health Hazards
 Segregation, packaging, storage and
transportation
 Nurses – precautions and safety
measures
 Role of Nurses in Biomedical waste
management – Hospitals, Primary
Health centers, Rural areas

87
Medical Surgical Nursing
(Adult including Geriatrics) – II Practical
Placement: Third year Time : Theory - 120 Hours
Practical – 270 Hours
Internship - 430 Hours

Dura-
Objectives of Assessment
Areas tion (in Skills to be developed Assignment
posting Methods
wks)
  
ENT 1 Provide care Perform examination of ear, Provide care to 2-3  Assess each
to patients nose and throat assigned patients skill with
 
with ENT Assist with diagnostic Nursing care plan-1 checklist

disorders procedures Observation reports of  Assess
 
Counsel and Assist with therapeutic OPD performance

educate procedures Maintain drug book with rating

patients and Instillation of drops scale

families Perform/ assist with  Evaluation
irrigations of

Apply ear bandage observation

Perform tracheostomy care report of

Teach patients and families OPD
 Completion
of activity
record.
  
Ophth 1 Provide care Perform examination of eye Provide care to 2-3  Assess each

amolo to patients Assist with diagnostic assigned patients skill with

gy with Eye procedures Nursing care plan-1 checklist
 
disorders Assist with therapeutic Observation reports of  Assess

Counsel and procedures OPD & Eye bank performance
 
educate Perform/ assist with Maintain drug book with rating
patients and irrigations scale

families Apply eye bandage  Evaluation

Perform eye drops/ of
ointments observation

Assist with foreign body report of
removal OPD/ Eye

Teach patients and families bank
 Completion
of activity
record.
  
Neuro 2 Provide care Perform Neurological Provide care to 2-3  Assess each

logy to patients Examination assigned patients with skill with

with Use Glasgow coma scale neurological disorders. checklist
 
neurological Assist with diagnostic Case study/case  Assess
disorders procedures presentation-1 performance
  
Counsel and Assist with therapeutic Maintain drug book with rating

educate procedures Health Teaching -1 scale

patients and Teach patients and families  3 Evaluation

families Participate in rehabilitation of case study
program & health
teaching
 Completion
of activity
record.

88
 Durati Assessment
Areas on (in Objectives Skills Assignment Methods
wks)
  
Gynec 1 Provide care Assist with gynecological Provide care to  Assess each

ology to patients Examination 2-3 assigned skill with

ward with Assist with diagnostic procedures patients checklist
 
gynecologic Assist with therapeutic procedures Nursing care  Assess

al disorders. Teach patients and families plan-1 performance
  
Counsel and Teaching self Breast examination Maintain drug with rating

educate Assist with PAP smear collection. book scale
patients and  Evaluation of
families care plan
 Completion
of activity
record.
  
Burns 1 Provide care Assessment of the burns patient Provide care to  Assess each
Unit to patients  Percentage of Burns 1-2 assigned skill with
with Burns  Degree of burns patients checklist
  
Counsel and Fluid & electrolyte replacement Nursing care  Assess
educate therapy plan-1 performance

patients and  Assess Observation with rating
families  Calculate reports of Burns scale
 Replace unit  Evaluation of

 Record intake/ output Maintain drug care plan an

Care of Burn wounds book observation
 Bathing report
 Dressing Completion

Perform active & passive exercises of activity

Practice medical & surgical asepsis record.

Counsel & Teach patients and
families

Participate in rehabilitation
program
  
Oncol 1 Provide care Screen for common cancers – Provide care to  Assess each
ogy to patients TNM 2-3 assigned skill with

Unit with cancer Assist with diagnosis procedures patients checklist
 
Counsel and  Biopsies Nursing care  Assess
educate  Pap smear plan-1 performance

patients and  Bone- marrow aspiration. Observation with rating

families Breast examination report of the scale

Assist with therapeutic procedures cancer unit  Evaluation of

Participates in various modalities care plan and
of treatment observation
 Chemotherapy report
 Radiotherapy  Completion of
 Pain management activity
 Stomal therapy record.
 Hormonal therapy
 Gene therapy
alternative therapy
 Participate in palliative care
 Counsel and teach patients families
 Self Breast Examination
 Warning signs
 Participate in
rehabilitation program

89
 Durati Assessment
Areas on (in Objectives Skills Assignment Methods
wks)
  
Critical 2 Provide care Monitoring of patients in ICU Provide care to  Assess

care to critically Maintain flow sheet 1 assigned each skill

unit ill patients Care of patients on ventilators patient with
  
Counsel Perform Endotracheal suction Observation checklist

patient and Demonstrates use of ventilators, report of  Assess
families for cardiac monitors etc Critical care perform-

grief and Collect specimens and interprets unit ance with

bereavement ABG analysis Drug book rating scale

Assist with arterial puncture  Evaluation

Maintain CVP line of

Pulse oximetetry observation

CPR – ALS report

Defibrillators  Completion

Pace makers of activity

Bag-mask ventilation record.

Emergency tray/ trolley – Crash Cart

Administration of drugs
 Infusion pump
 Epidural
 Intra thecal
 Intracranial

Total parenteral therapy

Chest physiotherapy

Perform active & passive exercises

Counsel the patient and family in
dealing with grieving and
bereavement
  
Casualt 1 Provide care Practice “triage” Observation  Assess

y/Emer to patients in Assist with assessment examination, report of performanc
gency emergency investigations & their interpretations, Emergency unit e with
and disaster in emergency and disaster situations rating scale

situation Assist in documentations  Evaluation
 
Counsel Assist in legal procedures in of
patient and emergency unit observation

families for Participate in managing crowd report

grief and Counsel patient and families in grief  Completion
bereavement and bereavement of activity
record

Placement : Internship Time : 9 weeks

Duration
Area Objective Skills Assessment
(in week)
Medical Ward 2 Provide comprehensive care to patients Integrated Assess clinical
with medical and surgical conditions practice performance with
Surgical ward 2 including emergencies rating scale

Critical care 1 Assist with common operations

unit/ICCU
Casuality/Emergency 2

Operation Theatre 2
(Eye, ENT, Neuro)

90
Child Health Nursing
Placement: Third year Time: Theory – 90 Hours
Practical – 270 Hours
Internship – 145 Hours

Course Description: This course is designed for developing and understanding of the modern approach to child
care, identification, prevention and nursing management of common health problems of neonates and children

Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective methods
Activities
 Explain the Introduction
modern concept Modern concepts of child care  Lecture  Short
I 15 of child care & discussion answers
principles of  Internationally accepted rights of  Demons-  Objectiv
child health the Child tration of e type
nursing  National policy and legislations in common  Assess-
 Describe relation to child health and paediatric ment of
national policy welfare procedures skills with
programs and  National programmes related to check list
legislation in child health and welfare
relation to child  Agencies related to welfare
health and services o the children
welfare  Changing trends in hospital care,
 List major preventive, promotive and
causes of death curative aspects of child health.
during infancy,  Child morbidity and mortality
early & late rates
childhood  Differences between adult and
 Describe the child
major functions  Hospital environment for a sick
and role of the child
paediatric nurse  Impact of hospitalisation on the
in caring for a child and family
hospitalized  Grief and bereavement
child
 The role of a child health nurse in
 Describe the caring for a hospitalised child
principles of
 Principles of pre and post
child health operative care of infants and
nursing children
 Child health nursing procedures

91
 Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objective methods
Activities
 Describe the The healthy child
normal growth  Principles of growth and  Lecture  Short
II 20 & development development discussion answers
of children at  Factors affecting growth and  Developmental  Objective
different ages development study of infant type
 Identify the  Growth and development from and children  Assess-
needs of birth to adolescence  Observation ment of
children at  The needs of normal children study of normal field visits
different ages through the stages of and sick child and
& provide developmental and parental  Field visit to develop-
parental guidance Anganwadi, mental
guidance  Nutritional needs of children & child guidance study
 Identify the infants: breast feeding, clinic reports
nutritional exclusive breast feeding  Film show on
needs of supplementary/artificial feeding breast feeding
children at and weaning  Clinical
different ages  Baby friendly hospital concept practice/field
and ways of  Accidents: causes and
meeting the prevention
needs  Value of play and selection of
 Appreciate the play material
role of play for  Preventive immunization
normal & sick programme and cold chain
children  Preventive paediatrics
 Appreciate the  Care of under five & under five
preventive clinics/well baby clinics
measures and
strategies for
children

 Provide care to Nursing care of a neonate

III 15 normal & high  Lecture  Short
risk neonates  Nursing care of a normal discussion answers
 Perform newborn/Essential newborn care  Workshop on  Objective
neonatal  Neonatal resuscitation neonatal type
resuscitation  Nursing management of a low resuscitation  Assess-
 Recognize and birth weight baby  Demonstration ment of
manage  Kangaroo mother care  Practice session skills with
common  Nursing management of  Clinical practice check list
neonatal common neonatal disorders
problems  Organization of neonatal unit
 Identification & nursing
management of common
congenital malformations

92
 Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objective methods
Activities
Integrated management of neonatal and
IV 10 childhood illness
 Provide Nursing management in common childhood
V 20 nursing diseases  Lecture  Short
care in discussion answers
common  Nutritional deficiency disorders  Demons-  Objective
childhood  Respiratory disorders and infections tration type
diseases  Gestrointestinal infections, infestations and  Practice  Assess-
congenital disorders session ment of
 Identify  Cardio vascular problem: congenital  Clinical skills with
measure to defects and rheumatic fever, rheumatic practice check list
prevent heart disease
common  Genito-urinary disorders: acute glomerulo
childhood nephritis, Nephrotic syndrome, Wilms’
diseases tumour, infection and congenital disorders.
including  Neurological infections and disorders
immuni- convulsions, epilepsy, meningitis,
zation hydrocephalus, spina-bifida.
 Hemotatological disorders: Juvenile
Diabetes Mellitus
 Orthopaedic disorders: club feet, hip
dislocation and fracture
 Disorders of skin, eye and ears
 Common communicable diseases in
children, their identification, nursing
management in hospital and home
prevention
 Child health emergencies: poisoning,
foreign bodies, hemorrhage, burns and
drowning.
 Nursing care of infant and children with
HIV/AIDS
 Manage the Management of behavioural & social
VI 10 child with problems in children  Lecture  Short
behavioural discussion answers
& social  Management of common behavioural  Objective
problems disorders  Field visits type
 Identify the  Management of common psychiatric to child  Assess-
social & problems guidance ment of
welfare  Management of challenged children : clinics, field
services for Mentally, Physically & Socially challenged school for reports
challenged  Welfare services for challenged children in mentally &
children India. physically,
 Child guidance clinics socially
challenged

93
Child Health Nursing – Practical
Placement: Third Year Time: 270 Hours (9 Weeks)
Fourth year Internship: 145 Hours (3 weeks)

Durati
Assessment
Areas on (in Objectives Skills Assignments
methods
weeks)
 Provide  Taking paediatric History  Given care to  Assess
Paedia- 3 nursing care  Physical examination and three assigned clinical
tric to children assessment of children paediatric perfor-
Medi- with  Administer of oral, I/M & IV patients mance with
cine various medicine/fluids  Nursing Care rating scale
Ward medical  Calculation of fluid Plan -1  Assess each
disorders requirements  Case skill with
 Counsel  Prepare different strengths of study/presentat checklist
and educate I.V. fluids ion-1 OSCE/OSP
parents.  Apply restraints  Health Talk-1 E
 Administer O2 inhalation by  Evaluation
different methods of case
 Given baby bath study
 Freed children by Katori presentation
spoon, etc. and Health
education
 Collect specimens for
session
common investigations
 Completion
 Assist with common
of activity
diagnostic procedures
record
 Teach mothers/parents

 Malnutrition
 Oral rehydration therapy
 Feeding & Weaning
 Immunization schedule
 Play therapy
 Specific Disease
conditions
 Recognize  Calculate, prepare and  Give care to  Assess
Pedia- 3 different administer I/V fluids three assigned clinical
tric pediatric  Do bowel wash paediatric performance
surgery surgical  Care for ostomies: surgical with
ward conditions/  Colostomy irrigation patients rating scale
malformations  Ureterostomy  Nursing Care  Assess each
 Provide pre  Gastrostomy Plan-1 skill with
and post  Enterostomy  Case checklist
operative care  Urinary catheterization study/presentat OSCE/OSPE
to children and drainage ion-1  Evaluation of
with common  Feeding case study/
paediatric  Naso-gastric presentation
surgical  Gastrostomy
conditions/  Jejunostomy  Completion of
malformation  Care of surgical wounds activity record.
 Counsel and  Dressing
educate  Suture removal
parents

94
 Dura-
Assessment
Areas tion (in Objectives Skills Assignments
methods
weeks)
Pediatric 1  Perform  Assessment of  Developmenta  Assess clinical
OPD/ assessment of children l study -1 performance
Immuniz children:  Health assessment with rating
ation Health,  Developmental scale
room Developmental assessment  Completion of
and Anthropo-  Anthropometric activity record
metric assessment
 Perform  Immunization
Immunization  Health/ Nutritional
 Give Health Education
Education/
Nutritional
Education
Pediatric 1+1 Provide nursing  Care of a baby  Nursing care  Assess clinical
medicine care to critically incubator/warmer plan-1 performance
and ill children  Care of a child on  Observation with rating
surgery ventilator report 1 scale
ICU  Endotracheal suction  Completion of
 Chest physiotherapy activity record
 Administer fluids  Evaluation of
with infusion pump observation
 Total parenteral report
nutrition
 Phototherapy
 Monitoring of babies
 Cardio Pulmonary
resuscitation

Internship
Duration
Areas (in Objective Skills Assessment
weeks)
 Provide  Assess clinical
Pediatric
comprehensive care performance with
medicine 1  Integrated Practice
to children with rating scale
ward/ICU
medical conditions
 Provide  Assess clinical
Pediatric
comprehensive care performance with
surgery 1  Integrated practice
to children with rating scale
Ward/ICU
surgical conditions
 Assess clinical
 Provide intensive
NICU 1  Integrated Practice performance with
care to neonates
rating scale

95
Mental Health Nursing
Placement: Third Year Time: Theory – 90 Hours
Practical – 270 Hours
Internship – 95 hours (2 weeks)

Course Description: This course is designed for developing an understanding of the modern approach to
mental health identification, prevention and nursing management of common mental health problems with
special emphasis on therapeutic interventions for individuals, family and community.

Teaching
Time Learning Learning Assessment
Unit Content
(Hrs) Objective Activity Method

I 5  Describes the Introduction  Lecture  Objective

historical  Perspectives of Mental Health Discussion type
development and Mental Health nursing:  Short answer
& current evolution of mental health  Assessment
trends in services, treatments and nursing of the field
mental health practices. visit reports.
nursing.  Prevalence and incidence of
 Describe the mental health problems and
epidemiology disorders.
of mental  Mental Health Act.
health  National Mental health policy
problems vis a vis National Health Policy.
 Describe the  National Mental Health
National programme.
Mental Health  Mental health team.
Act,  Nature and scope of mental
programmes health nursing.
and mental  Role and functions of mental
health policy health nurse in various settings
 Discusses the and factors affecting the level of
scope of nursing practice.
mental health  Concepts of normal and
nursing abnormal behaviour.
 Describe the
concept of
normal &
abnormal
behaviour
II 5  Defines the Principles and Concepts of Mental  Lecture  Essay type
various terms Health Nursing discuss  Short
used in mental  Definition: mental health nursing ion answer
health Nursing and terminology used  Explain  Objective
● Explain the  Classification of mental using type
classification disorders: ICD Charts
of mental  Review
disorders of
persona
lity
develo
pment

96
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective Method
Activity
 Explain ● Review of personality
psycho development, defense
dynamics of mechanisms.
maladaptive  Maladaptive behaviour of
behaviour individuals and groups: stress,
 Discuss the crisis and disaster(s)
etiological  Etiology: bio – psycho – social
factors, factors.
psychopatho-  Psychopathology of mental
logy of disorders: review of structure and
mental function of brain, limbic system
disorders and abnormal neuro transmission.
 Explain the  Principles of Mental health
Principles and Nursing.
standards of  Standards of Mental health
Mental health nursing practice.
Nursing  Conceptual models and the role
 Describe the of nurse:
conceptual  Existential Model
models of  Psycho – analytical models
mental health  Behavioural model
nursing  Interpersonal model.

 Describe  Lecture  Short

III 8 nature, Assessment of mental health status discussion answer
purpose and  History taking  Demonstrat  Objectiv
process of  Mental status examination ion e type
assessment of  Mini mental status examination.  Practice  Assess-
mental health  Neurological examination: session ment of
status. Review  Clinical skills
 Investigations: Related Blood practice with
chemistry, EEG, CT & MRI check
 Psychological tests R list
 Role and responsibilities of
nurse.

IV 6  Identify  Lecture  Short

therapeutic Therapeutic communication and discussion answer
communi- nurse – patient relationship  Demonstra  Objec-
cation  Therapeutic communication: -tion tive
techniques. Types, techniques, characteristics  Role play type
 Describe  Types of relationship,  Process
therapeutic  Ethics and responsibilities recording
relationship  Elements of nurse patient
 Describe contract
therapeutic  Review of technique of IPR-
impasse and Johari Window
its  Goals, phases, tasks, therapeutic
intervention techniques
 Therapeutic impasse and its
intervention

97
 Teaching
Time Learning Learning Assessment
Unit Content
(Hrs) Objective Activity Method

V 14  Explain Treatment modalities and  Lecture  Essay type

treatment therapies used in mental disorders. discussion  Short
modalities and  Psycho Pharmacology  Demons- answers
therapies used  Psychological therapies: tration  Objective
in mental Therapeutic community, psycho discussion type.
disorders and therapy-Individual,Psycho–  Group
role of the analytical, cognitive and work
nurse. supportive, Family, Group,  Practice
Behavioural, Play, Psycho – session
drama, Music, Dance,  Clinical
Recreational and Light therapy, practice
Relaxation therapies: Yoga,
Meditation, bio feedback
 Alternative systems of medicine
 Occupational therapy
 Physical Therapy: electro
convulsive therapy
 Geriatric considerations
Role of nurse in above therapies.

VI 5  Describe the Nursing management of patient  Lecture  Essay type

etiology, with Schizophrenia, and other discussion  Short
psycho- psychotic disorders  Case answers
pathology,  Classification: ICD discussion  Assessme
clinical  Etiology, psycho-pathology,  Case nt of
manifestations, types, clinical manifestations, presenta- patient
diagnostic diagnosis tion managem
criteria and  Nursing Assessment – History,  Clinical ent
management Physical and mental assessment practice problems
of patients  Treatment modalities and
with nursing management of patients
Schizophrenia, with Schizophrenia and other
and other psychotic disorders
psychotic  Geriatric considerations
disorders  Follow – up and home care and
rehabilitation

98
 Teaching
Time Learning Assessment
Unit Learning Objective Content
(Hrs) Activity Method

VII 5  Describe the Nursing management of patient  Lecture  Essay type

etiology, psycho- with mood disorders discussion  Short answers
pathology,  Case  Assessment of
clinical  Mood disorders: Bipolar discussion patient
manifestations, affective disorder, Mania  Case management
diagnostic criteria depression and dysthamia etc presentation problems
and management  Etiology, psycho – pathology,  Clinical
of patients with clinical manifestations, practice
mood disorders. diagnosis,
 Nursing Assessment –
History, Physical and mental
assessment.
 Treatment modalities and
nursing management of
patients with mood disorders
 Geriatric considerations
 Follow – up and home care
and rehabilitation.
VIII 8  Describe the Nursing management of patient  Lecture  Essay type
etiology, psycho- with neurotic, stress related and discussion  Short answers
pathology, somatization disorders  Case  Assessment of
clinical discussion patient
manifestations,  Anxiety disorder, Phobias,  Case management
diagnostic criteria Dissociation and Conversion presentation problems
and management disorder, Obsessive  Clinical
of patients with compulsive disorders, Post practice
neurotic, stress traumatic stress disorder.
related and  Etiology, psycho – pathology,
somatization clinical manifestations,
disorders. diagnosis.
 Nursing Assessment –
History, Physical and mental
assessment
 Treatment modalities and
nursing management of
patients with neurotic, stress
related and somatization
disorders.
 Geriatric considerations
 Follow – up and home care
and rehabilitation

99
 Teaching
Time Learning Assessment
Unit Content Learning Activity
(Hrs) Objective Method
IX 5  Describe the Nursing management of patient  Lecture  Essay type
etiology, with Substance use disorders discussion  Short
psycho-  Commonly used psychotropic  Case answers
pathology, substance: Classification,  discussion  Assess-
clinical forms, routes, action,  Case ment of
manifestations, intoxication and withdrawal presentation patient
diagnostic  Etiology of dependence:  Clinical manage-
criteria and tolerance, psychological and  practice ment
management of physical dependence, problems
patients with withdrawal syndrome,
substance use diagnosis,
disorders.  Nursing Assessment –
History, Physical, mental
assessment and drug assay
 Treatment (detoxification,
antabuse and narcotic
antagonist therapy and harm
reduction) and nursing
management of patients with
substance use disorders
 Geriatric considerations
 Follow – up and home care
and rehabilitation
X 4  Describe the Nursing management of patient  Lecture  Essay type
etiology, with Personality, Sexual and discussion  Short
psycho- Eating disorders  Case answers
pathology,  Classification of disorders discussion  Assess-
clinical  Etiology, psycho-pathology,  Case ment of
manifestations characteristics, diagnosis, presentation patient
diagnostic  Nursing Assessment –  Clinical manage-
criteria and History, Physical and mental practice ment
management of assessment problems
patients with  Treatment modalities and
personality, nursing management of
Sexual and patients with Personality,
Eating Sexual and Eating disorders
disorders  Geriatric considerations
 Follow – up and home care
and rehabilitation
XI 6  Describe the Nursing management of  Lecture  Essay type
etiology, Childhood and adolescent discussion  Short
psycho- disorders including mental  Case answers
pathology, deficiency discussion  Assess-
clinical  Classification  Case ment of
manifestations,  Etiology, psycho-pathology, presentation patient
diagnostic characteristics, diagnosis  Clinical  Managem
criteria and Nursing Assessment – practice ent
management of History, Physical, mental and problems
childhood and IQ assessment
adolescent  Treatment modalities and
disorders nursing management of
including childhood disorders including
mental mental deficiency
deficiency  Follow – up and home care
and rehabilitation
100
 Teaching
Time Assessment
Unit Learning Objective Content Learning
(Hrs) Method
Activity
XII 5  Describe the  Nursing management of  Lecture discussion  Essay
etiology, psycho- organic brain disorders  Case discussion type
pathology,  Classification: ICD?  Case presentation  Short
clinical  Etiology, psycho-pathology,  Clinical practice answers
manifestations, clinical features, diagnosis and  Assess-
diagnostic criteria Differential diagnosis ment of
and management (parkinsons and alzheimers) patient
of organic brain  Nursing Assessment – History, manage-
disorders. Physical, mental and ment
neurological assessment problems
 Treatment modalities and
nursing management of organic
brain disorders
 Geriatric considerations
 Follow – up and home care and
rehabilitation
XIII 6  Identify  Psychiatric emergencies and  Lecture discussion  Short
psychiatric crisis intervention  Demonstration answers
emergencies and  Types of psychiatric  Practice session  Objective
carry out crisis emergencies and their  Clinical practice type
intervention management
 Stress adaptation Model: stress
and stressor, coping, resources
and mechanism
 Grief: Theories of grieving
process, principles, techniques of
counseling
 Types of crisis
 Crisis Intervention: Principles,
Techniques and Process
 Geriatric considerations
Role and responsibilities of nurse

XIV 4  Explain legal Legal issues in Mental Health  Lecture discussion  Short
aspects applied in Nursing  Case discussion answers
mental health  The Mental Health Act 1987:  Objective
settings and role Act, Sections, Articles and their type
of the nurse implications etc.
 Indian Lunacy Act. 1912
 Rights of mentally ill clients
 Forensic psychiatry
 Acts related to narcotic and
psychotropic substances and
illegal drug trafficking
 Admission and discharge
procedures
Role and responsibilities of nurse

101
 Teaching
Time Learning Assessment
Unit Learning Objective Content
(Hrs) Activity Method

XV 4  Describe the Community Mental Health  Lecture  Short

model of Nursing discussion answers
preventive  Development of Community  Clinical/field  Objective
psychiatry Mental Health Services: practice type
 Describes  National Mental Health  Field visits to  Assess-ment
Community Programme mental health of the field
Mental health  Institutionalization Versus service visit reports
services and role Deinstitutionalization agencies
of the nurse.  Model of Preventive
psychiatry: Levels of
Prevention
 Mental Health services
available at the primary,
secondary, tertiary levels
including rehabilitation and
Role of nurse.
 Mental Health Agencies:
Government and voluntary,
National and International
 Mental health nursing
issues for special
populations: Children,
Adolescence, Women,
Elderly, Victims of violence
and abuse, Handicapped,
HIV / AIDS etc.

102
Mental Health Nursing – Practical
Placement: Third Year Time : Practical – 270 hrs. (9 weeks)
Fourth Year Internship – 95 hrs. (2 weeks)

Duration Assessment
Areas Objectives Skills Assignments
(in week) Methods
Psychiatric 1  Assess patients  History taking  History taking  Assess
OPD with mental  Perform mental and Mental performance
health status examination status with rating
Problems (MSE) examination–2 scale
 Observe and  Assist in  Health  Assess each
assist in Psychometric education – 1 skill with
therapies assessment  Observation checklist
 Counsel and  Perform report of OPD  Evaluation of
educate patient, Neurological health
and families examination education
 Observe and assist  Assessment of
in therapies observation
 Teach patients and report
family members  Completion of
activity record.
Child 1  Assessment of  History taking  Assess
Guidance children with  Assist in  Case work – 1 performance
clinic various mental psychometric  Observation with rating
health problems assessment report of scale
 Counsel and  Observe and assist different  Assess each
educate children, in various therapies therapies-1 skill with
families and  Teach family and checklist
significant others significant others  Evaluation of
the
observation
report
Inpatient 6  Assess patients  History taking  Give care to 2-  Assess
ward with mental  Perform mental 3 patients with performance
health problems status examination various mental with rating
 To provide (MSE) disorders scale
nursing care for  Perform  Case study -1  Assess each
patients with Neurological  Care plan-2 skill with
various mental examination  Clinical checklist
health problems  Assist in presentation 1  Evaluation of
psychometric the case
assessment study

103
 Duration Assessment
Areas Objectives Skills Assignments
(in week) Methods
 Assist in various  Record therapeutic  Process Care plan,
therapies communication recording 2 clinical
 Counsel and  Administer  Maintain presentation
educate patients, medications drug book process
families and  Assist in Electro- recording
significant others convulsive Therapy
(ECT)  Completion
 Participate in all of activity
therapies record
 Prepare patients for
activities of Daily
living (ADL)
 Conduct admission
and discharge
counseling
 Counsel and teach
patients and families
Community 1  To identify  Conduct case work  Case work-1  Assess
psychiatry patients with  Identify individuals  Observation perfor-
various mental with mental health report on mance with
disorders problems field visits rating scale
 To motivate  Assists in mental  Evaluation
patients for early health camps and of case
treatment and clinics work and
follow up  Counsel and Teach observation
 To assist in family members, report
follow up clinic patients and  Completion
 Counsel and community of activity
educate patient, record
family and
community

Internship

Area Duration Objective Skills Assessment

Psychiatry 2 Weeks Provide comprehensive care to Integrated Assess clinical performance

ward patients with mental health Practice with rating scale
problems

104
Nursing Research and Statistics:
Placement: Third Year Time: Theory – 45 Hours
Practical – 45 Hours

Course Description: The Course is designed to enable students to develop an understanding of basic concepts
of research, research process and statistics. It is further, structured to conduct/ participate in need based research
studies in various settings and utilize the research findings to provide quality nursing care. The hours for
practical will be utilized for conducting individual/group research project.

Time Learning Teaching Learning Assessment

Unit Content
(Hrs) Objectives Activities methods
I 4  Describe the Research and research process ● Lecture Discussion ● Short
concept of ● Narrate steps of answer
research, ● Introduction and need for research process ● Objective
terms, need nursing research followed from type
and areas of ● Definition of Research & examples of
research in nursing research published studies
nursing. ● Steps of scientific method
 Explain the ● Characteristics of good
steps of research
research ● Steps of research process-
process. overview
II 3  Identify Research Problem/ Question ● Lecture Discussion ● Short
and state the  Identification of problem area ● Exercise on writing answer
research  Problem statement statement of ● Objective
problem and  Criteria of a good research problem and type
objectives problem. objectives
 Writing objectives
III 3  Review the Review of Literature ● Lecture Discussion ● Short
related ● Exercise on answer
literature  Location reviewing one ● Objective
 Sources research type
 On line search: report/article for a
CINHAL, COCHRANE selected research
etc problem.
 Purpose ● Prepare annotated
 Method of review bibliography
IV 4  Describe the Research approaches and ● Lecture Discussion ● Short
research designs ● Explain types of answer
approaches research ● Objective
and designs  Historical, survey and approaches used type
experimental from examples of
 Qualitative and Quantitative published and
designs unpublished
research studies
with rationale.

105
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives methods
Activities
V 8  Explain the Sampling and data collection ● Lecture ● Short
sampling  Definition of population, Discussion answer
process sample, sampling criteria, ● Reading ● Objective
 Describe the factors influencing assignment on type
methods of samp0ling process, types examples of
data collection of sampling techniques. data collection
 Data–why, what, from tools.
whom, when and where to ● Preparation of
collect. sample data
 Data collection methods collection tool
and instruments: ● Conduct group
○ Methods of data research project
collection
○ Questioning,
interviewing
○ Observations, record
analysis and
measurement
○ Types of instruments
○ Validity & Reliability
of the Instrument
○ Pilot study
○ Data collection
procedure
VI 4  Analyze, Analysis of data: ● Lecture ● Short
interpret and Discussion answer
summarize the  Compilation, ● Preparation of ● Objective
research data Tabulation, classification, sample tables type
summarization,
presentation,
interpretation of data

VII 15  Explain the Introduction to statistics ● Lecture ● Short

use of  Definition, use of Discussion answer
statistics, statistics, scales of ● Practice on ● Objective
scales of measurement. graphical type
measurement  Frequency distribution representation
and graphical and graphical ● Practice on
presentation of presentation of data computation of
data  Mean, Median, Mode, measures of
 Describe the Standard deviation central
measures of  Normal Probability and tendency,
central tests of significance variability &
tendency and  Co – efficient of correlation
variability and correlation.
methods of  Statistical packages and
correlation. its application

106
 Time Learning Teaching Learning Assessment
Unit Content
(Hrs) Objectives Activities methods
VIII 4  Communicate Communication and utilization ● Lecture ● Short
and utilize the of Research Discussion answer
research  Communication of research ● Reading/present ● Objective
findings findings ations of a type
○ Verbal report sample ● Oral
○ Writing research report published/ presenta-
○ Writing scientific article unpublished/ tion
/paper research report ● Assess-
- Critical review of ● Writing group ment of
published research research project group
- Utilization of research
research findings project

107
Midwifery and Obstetrical Nursing
Placement: Fourth Year Time: Theory – 90 Hours
Practical – 360 Hours
Internship – 240 Hours

Course Description: This course is designed for students to appreciate the concepts and principles of midwifery
and obstetrical nursing. It helps them to acquire knowledge and skills in rendering nursing care to normal and
high risk pregnant woman during antenatal, natal and post natal periods in hospitals and community settings. It
also helps to develop skills in managing normal and high risk neonates and participate in family welfare
programme.

Unit Time Learning Content Teaching Assessment

(Hrs) Objective Learning Method
Activities
1 3 Recognize the Introduction to midwifery and obstetrical  Lecture  Short
trends and Nursing discussion answers
issues in  Introduction to concepts of midwifery and  Explain  Objective
midwifery obstetrical Nursing using type
and  Trends in midwifery and obstetrical nursing Charts and
obstetrical - Historical perspectives and current graphs
nursing trends
- Legal and ethical aspects
- Pre-conception care and preparing
for parenthood
- Role of nurse in midwifery and
obstetrical care.
- National policy and legislation in
relation to maternal health and welfare
- Maternal, morbidity, mortality and
fertility rates
- Perinatal, morbidity and mortality rates
II 8  Describe Review of anatomy and physiology of female  Lecture  Short
the reproductive system and foetal development discussion answers
anatomy  Female pelvis – general description of the  Review  Objective
and bones joints, ligaments, planes of the pelvis with type
physiolog diameters of the true pelvis, important Charts and
y of landmarks, variations in pelvis shape. models
female  Female organs of reproduction – external
reproduct genetalia, internal genital organs and their
ive anatomical relations, musculature – blood –
system supply, nerves, lymphatics, pelvic cellular
tissue, pelvic peritoneum.
 Physiology of menstrual cycle
 Human sexuality
 Foetal development
o Conception
o Review of fertilization, implantation
(embedding of the ovum), development of the
embryo and placenta at term – functions,
abnormalities, the foetal sac, amniotic fluid,
the umbilical chord,
o Foetal circulation, foetal skull, bones, sutures
and measurements.
o Review of Genetics.

108
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective Method
Activities
III 8  Describe Assessment and management of  Lecture  Short answers
the pregnancy (ante – natal) discussion  Objective type
diagnosis  Demonstrat  Assessment of
and  Normal pregnancy ion skills with
managem  Physiological changes during  Case check list
ent of pregnancy. discussion/  Assessment
women o Reproductive system presentation of patient
during o Cardio vascular system  Health talk management
antenatal o Respiratory system  Practice problems
period. o Urinary system session
o Gastero intestinal system  Counseling
o Metabolic changes session
o Skeletal changes  Supervised
o Skin changes clinical
o Endocrine system practice
o Psychological changes
o Skin changes
o Endocrine system
o Psychological changes
o Discomforts of pregnancy
 Diagnosis of pregnancy
o Signs
o Differential diagnosis
o Confirmatory tests
 Ante – natal care
o Objectives
o Assessment
- History and physical
examination
- Antenatal Examination
- Signs of previous child
Birth
 Relationship of foetus to uterus and
pelvis: Lie, Attitude, Presentation,
Position
 Per vaginal examination.
 Screening and assessment for high
risk;
 Risk approach
 History and Physical Examination
 Modalities of diagnosis; Invasive &
Non-Invasive, ultrasonics,
cardiotomography, NST, CST
 Antenatal preparation
 Antenatal counseling
 Antenatal exercises
 Diet
 Substance use
 Education for child-birth
 Husband and families
 Preparation for safe
– confinement
 Prevention from radiation

109
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective Method
Activities
*Psycho-social and cultural aspects of pregnancy
 Adjustment to pregnancy
 Unwed mother
 Single parent
 Teenage pregnancy
 Sexual violence
 Adoption
IV 12  Describe Assessment and management of intra-natal
the period. ● Lecture  Essay type
physiology  Physiology of labour, mechanism of labour discussi  Short
and stages  Management of labour. on answers
of labour.  First stage ● Demons  Objective
 Describe  Signs and symptoms of onset of labour; tration type
the normal and abnormal ● Case  Assessme
manage-  Duration discussi nt of skills
ment of  Preparation of: on/prese with
women  Labour room ntation check list
during  Woman ● Simulat  Assessme
intra-natal  Assessment and observation of women in ed nt of
period labour; partogram-maternal and foetal practice patient
monitoring ● Supervi managem
- Active management of labour, sed ent
Induction of labour Clinical problems
- Pain relief and comfort in labour practice
 Second stage
 Signs and symptoms; normal and abnormal
 Duration
 Conduct of delivery; Principles and
techniques
 Episiotomy (only if required)
 Receiving the new born
o Neonatal resuscitation; initial steps
and subsequent resuscitation
o Care of umbilical cord
o Immediate assessment including
screening for congenital anomalies
o Identification
o Bonding
o Initiate feeding
o Screening and transportation of the
neonate
 Third stage
Signs and symptoms; normal and
abnormal
 Duration
Method of placental expulsion
Management; Principles and techniques
Examination of the placenta
 Examination of perineum
 Maintaining records and reports
 Fourth Stage

110
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective Method
Activities
V 5  Describe Assessment and management of women  Lecture  Essay type
the during post natal period discussion  Short
physiology  Normal puerperium; Physiology  Demons- answers
of Duration tration  Objective
puerperium  Postnatal assessment and management  Health talk type
 Describe  Promoting physical and emotional  Practice  Assessment
the well-being Session of skills
manage-  Lactation management  Supervised with check
ment of  Immunization Clinical list
women  Family dynamics after child birth practice  Assessment
during  Family welfare services; methods, of patient
postnatal counseling management
period  Follow – up problems
Records and reports

VI 6  Describe  Assessment and management of

the assess- normal neonates  Lecture  Essay type
ment and  Normal Neonate; discussion  Short
manage-  Physiological adaptation,  Demonstra answers
ment of  Initial & Daily assessment tion  Objective
normal Essential newborn care: Thermal  Practice type
neonate control, Session  Assess-
 Breast feeding, prevention of  Supervised ment of
infections Clinical skills with
 Immunization practice check list
 Minor disorders of newborn and its  Assess-
management ment of
 Levels of Neonatal care (level I, II & patient
III) manage-
 At primary, secondary and tertiary ment
levels problems
 Maintenance of Reports and Records
VII 10  Describe  High – risk pregnancy – assessment
the & management  Lecture  Essay type
Identificat  Screening and assessment discussion  Short
ion and  Ultrasonics, cardiotomography,  Demons- answers
managem NST, CST, non – invasive & trate using  Objective
ent of invasive. video films, type
women  Newer modalities of diagnosis scan  Assessment
with high  High – risk approach reports, of skills
risk  Levels of care; primary, secondary partograph with check
pregnancy and tertiary levels etc list
 Disorders of pregnancy  Case  Assessment
 Hyper-emesis gravidarum, discussion/ of patient
bleeding in early pregnancy, presentation manage-
abortion, ectopic  Health talk ment
 Pregnancy, vesicular mole,  Practice problems
 Ante-partum haemorrage. Session
 Uterine abnormality and  Supervised
displacement. Clinical
practice
 Diseases complicating pregnancy
Medical and surgical conditions
Infections, RTI (STD), UTI,
HIV, TORCH
111
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective Method
Activities
 Gynaecological diseases
complicating pregnancy
Pregnancy induced hypertension &
diabetes, Toxemia of pregnancy,
hydramnios,
 Rh incompatibility
 Mental disorders
Adolscent pregnancy, Elderly primi
and grand multipara
 Multiple pregnancy
Abnormalities of placenta & cord
Intra – uterine growth-retardation
Nursing management of mothers
with high – risk pregnancy
Maintenance of Records and Report
VIII 10  Describe Abnormal Labour – assessment and
management management  Lecture  Essay type
of abnormal  Disorders in labour discussion  Short answers
labour CPD and contracted pelvis  Demonstrat  Objective type
 And  Malpositions ion  Assessment of
obstetrical  Premature labour, disorders of  Case skills with
emergencies uterine actions – precipitate discussion/ checklist.
labour, prolonged labour presentation  Assessment of
 Complications of third stage:  Practice patient
injuries to birth canal Session management
 Obstetrical emergencies and their  Supervised problems
management; Clinical
Presentation and prolapse of cord, practice
Vasa praevia, amniotic fluid
embolism, rupture of uterus, shoulder
dystocia, obstretical shock
 Obstetrical procedures and
operations;
Induction of labour, forceps, vacuum
version, manual removal of placenta,
caesarean section, destructive operations
 Nursing management of women
undergoing Obstetrical operations and
procedures

IX 4  Describe Abnormalities during Postnatal Periods  Lecture  Essay type

management  Assessment and management of discussion  Short answers
of post natal woman with postnatal complications  Demonstra-  Objective type
complications tion  Assess-ment of
 Puerperal infections, breast  Case skills with
engorgement & infections, UTI, discussion/ check list
thrombo-Embolic disordesrs, post- presentation  Assess-ment of
partum haemorrhage, Eclampsia  Supervised patient
and sub involution Clinical manage-ment
 Psychological complications Practice problems
- Post partum Blues
- Post partum Depression
- Post partum psychosis

112
 Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objective Method
Activities
X 10  Identify the Assessment and management of High risk new  Lecture  Essay type
high risk born discussio  Short
neonates and  Admission of neonates in the neonatal n answers
their nursing intensive care units protocols  Demons-  Objec-tive
management  Nursing management of: tration type
- Low birth weight babies  Practice  Assess-
- Infections Session ment of
- Respiratory problems  Case skills with
- Haemolytic disorders discussio check list
- Birth injuries n/  Assess-
 Monitoring of high risk neonate presentat ment of
 Feeding of high risk neonates ion patient
 Organization and management of neonatal  Supervis managem
intensive care units ed ent
 Infection control in neonatal intensive care Clinical problems
units practice
 Maintenance of reports and records
XI 4  Describe Pharmo-therapeutics in obstetrics  Lecture
indication,  Indication, dosage, action, contraindication discussio  Short
dosage, and side effects of drugs n answers
action, side  Effect of drugs on pregnancy, labour &  Drug  Objec-tive
effects and puerperium book type
nurses  Nursing responsibilities in the administration  Drug
response- of drug in obstetrics –oxytocins, presentat
bilities in antihypertensive. Diuretics, tocolytic agents, ion
the anti convulsants;
administra-  Analgesics and anesthetics in obstetrics
tion of drugs  Effects of maternal medication of foetus and
used for neonate
mothers
XII 10  Appreciate Family Welfare programme
the  Population trends and problems in India  Lecture  Essay type
importance  Concepts, aims, importance and history of discussio  Short
of family family welfare n answers
welfare  National population: dynamics, policy and  Demons-  Objective
programme education tration type
 National family welfare Programme:RCH,  Practice  Assessme
* Describe the ICDS,MCH, Safe motherhood Session nt of skills
methods of  Organization and administration; at national,  Supervis with
contraception state, district, block and village levels ed check
and role of nurse  Methods of contraception: spacing, temporary practice list,
in family welfare and permanent, Emergency contraception  Group project
programme  Infertility and its management project and field
 Counseling for family welfare  Counseli visits
 Latest research in contraception ng reports.
 Maintenance of vital statistics session
 Role of national, international and voluntary  Field
organizations visits
 Role of a nurse in family welfare programme
 Training/Supervision/Collaboration with other
functionaries in community like ANMs.
LHVs, Anganwadi workers, TBAs(Traditional
birth attendant – Dai)
113
Midwifery and Obstetrical Nursing – Practical
Placement: Fourth Year Time : Practical – 360 Hours
Internship - 240 Hours

Dura-
Assessment
Areas tion (in Objectives Skills Assignments
methods
weeks)
 Assess-  Antenatal history taking  *Conduct  Verification
Antenatal 2 ment of  Physical examination Antenatal of findings
clinic/ pregnant  Recording of Weight & B.P  Examinations of
OPD women  Hb & Urine testing for sugar 30 Antenatal
and albumin  Health talk– 1 examination
 Antenatal examination-  Case book s
abdomen and breast recordings  Completion
 Immunization of casebook
 Assessment of risk status recordings
 Teaching antenatal mothers
 Maintenance of antenatal
records
Labour 4  Assess  Assessment of Woman in  *Conduct  Assessme
room woman in labour normal nt of
O.T. labour  Pervaginal examinations and deliveries -20 clinical
 Carry out interpretation  *Pervaginal Performan
per-vaginal  Monitoring and caring of examinations- ce with
examination woman in labour 5 rating
s  Maintenance of  *Perform and scale
 Conduct partograph suture the  Assessme
normal  Conduct normal delivery episiotomies - nt of each
deliveries  Newborn assessment and 5 skill with
 Perform immediate care  *Resuscitate checklists
episiotomy  Resuscitation of newborns newborns -5  Completio
and suture it  Assessment of risk status of  *Assist with n of Case
 Resuscitate newborn Caesarean book
newborns  Episiotomy and suturing Section – 2 recordings
 Assist with  Maintenance of labour and  *Witness
Caesarean birth records abnormal
sections,  Arrange for and assist with deliveries -5
MTP and Caesarean section and care  Assist with
other for woman & baby during MTP and other
surgical Caesarean surgical
procedures Arrange for and assist with MTP procedures -1
and other surgical procedures  Case book
recordings

114
 Durati
Assessment
Areas on (in Objectives Skills Assignments
methods
weeks)
Post 4  Provide  Examination and assessment of  * Give care to  Assessment
natal nursing care mother and Baby Post natal of clinical
ward to post natal  Identification of deviations mothers -20 performanc
mother and  Care of postnatal mother and  Health talks -1 e
baby baby  Case study –  Assessment
 Perineal care  Case of each skill
 Counsel  Lactation management presentation -1 with check
and teach  Breast feeding  Casebook lists
mother and  Baby bath recordings  Completion
family for  Immunization, ofCase
parent hood  Teaching postnatal book
mother: recording
 Mother craft  Evaluation
 Post natal care & of case
 Exercises study and
 Immunization presentation
and health
education
sessions
New 2  Provide  Newborn assessment  Case study -1  Assessment
born nursing  Admission of neonates  Observation of clinical
nursery care to  Feeding of at risk neonates Study -1 performanc
newborn at Katori spoon, paladi, tube e
risk feeding, total  Assessment
Parenteral nutrition of each skill
 Thermal management of With check
neonates-kangaroo mother care, lists
care of baby in incubator  Evaluation
 Monitoring and care of neonates of and
 Administering medications observation
 Intravenous therapy study
 Assisting with diagnostic
procedure
 Assisting with exchange
transfusion
 Care of baby on ventilator
 Phototherapy
 Infection control protocols in
the nursery
 Teaching and counseling of
parents
 Maintenance of neonatal records
Family Rotate  Counsel for  Counseling technique  * IUD insertion  Assessment
Plannin on and provide  Insertion of IUD -5 of each skill
g clinic from family  Teaching on use of family  Observation with check
post welfare planning methods Study – 1 lists
natal services  Arrange for and assist with  Counseling – 2  Evaluation
ward family planning operations  Simulation of and
1wk  Maintenance of records and exercise on observation
reports recording and study
reporting -1

115
* Essential Requirements for registration as midwife

o Antenatal examination 30
o Conducting normal deliveries in hospital/home/health centre 20
o Vaginal examination 5
o Episiotomy and suturing 5
o Neonatal resuscitation 5
o Assist with Caesarean Section 2
o Witness/Assist abnormal deliveries 5
o Postnatal cases nursed in hospital/home/health centre 20
o Insertion of IUD 5

Note: All casebooks must be certified by teacher on completion of essential requirements

Internship Obstetrical Nursing

Internship Duration – 5 weeks

Duratio
Assessment
Areas n (in Objectives Skills Assignments
methods
weeks)
Labour  Provide  Integrated  Completion of other  Assess
ward 2 comprehensive Practice essential requirements clinical
care to mothers  Case book recordings performance
Neonatal 1 and neonates with rating
intensive scale
care unit/  Completion of
NICU case book
2 recordings
Antenatal

116
Community Health Nursing – II
Placement: Fourth year Time: Theory – 90 Hours
Practical – 135 Hours

Course description: This course is designed for students to practice community health nursing for the
individual, family and groups at both urban and rural settings by using concept and principles of health and
community health nursing.

Teaching
Time Learning Assessment
Unit Contents Learning
(Hrs) Objectives methods
Activities
I 4  Define concepts, Introduction  Lecture  Essay
scope, principles  Definition, concept & scope discussion type
and historical of Community Health and  Short
development of Community Health Nursing answers
Community  Historical development of
Health and  Community Health and
community health  Community Health
Nursing Nursing
 Pre-independence
 Post – independence
II 6  Describe health Health planning and policies  Lecture  Essay
plans, policies, and problems discussion type
various health  National health planning in  Panel  Short
committees and India Five Year Plans discussion answers
health problems  Various committees and
in India commissions on health and
family welfare
o Central council for
health and family
welfare (CCH and
FW)
o National health
policies (1983,
2002)
o National
population policy
 Roles And
Responsibil
ity Of Mid-
Level
Health Care
Providers
 Ayushman
Bharat-The
Up
Gradation
Of
Subcentres
Into Of
Health And
Wellness
Centers,Co
ncept Of
Comprehen
sive
 Primary
Health Care
And Key
Elements
Of
Cphc,Servi
ce Delivery
And
Continuum
Of Care
And Roles
Of Mid-
Level
Health Care
Providers(
Mlhp)
 Diagnosing
And
Treatment
Skills
Essential At
Sub Centre
Level
Using
Standard
Treatment
Protocol
 Social
Mobilizatio
n Skills
 Drug
Dispensing

Health problems in India
 Health Planning
And Health Care
Delivery System In
India9iphs
Guidelines)

Financial Management ,Accounts And

Computing At Sub-Centre
 Use Of Equipment
 Transportation Of Baby And
Common Accidents And
Mishaps In Labour Room
 Roles And Responsibility Of
Mid-Level Health Care
Providers
 Ayushman Bharat-The Up
Gradation Of Subcentres Into
Of Health And Wellness
Centers,Concept Of
Comprehensive Primary Health
Care And Key Elements Of
Cphc,Service Delivery And
Continuum Of Care And Roles
Of Mid-Level Health Care
Providers(Mlhp)
 Diagnosing And Treatment
 Skills Essential At Sub Centre
Level Using Standard
Treatment Protocol
 Social Mobilization Skills
 Drug Dispensing

III 15  Describe the Delivery of community health  Lecture  Essay

system of services discussion type
delivery of  Planning, budgeting and Visit to  Short
community health material management of various answers
services in rural SCs, PHC and, CHC health
and urban areas  Rural: Organization , delivery
staffing and functions of systems
rural health services  Supervised
provided by government at: field practice
 Panel
discussion

117
 Teaching
Time Learning Assessment
Unit Contents Learning
(Hrs) Objectives methods
Activities
 List the ○ Village
functions of ○ Subcentre
various levels ○ Primary health centre
and their ○ Community health
staffing pattern center/ subdivisional
 Explain the ○ Hospitals
components of ○ District
health services ○ State
 Describe ○ Centre
alternative  Urban: Organization, staffing
systems of and functions of urban health
health services provided by government
promotion and at:
health o Slums
maintenance. o Dispensaries
 Describe the o Maternal and child
chain of referral health centers
system o Special Clinics
o Hospitals
o Corporation/
Municipality/ Board
● Components of health services
○ Environmental
sanitation
○ Health education
○ Vital statistics
○ M.C.H antenatal,
natal, postnatal, MTP
Act, female foeticide
act, child adoption act
○ Family welfare
○ National health
programmes
○ School health services
○ Occupational health
○ Defence services
○ Institutional services
● Systems of medicine and
health care
○ Allopathy
○ Indian System
of Medicine and
Homeopathy
○ Alternative health care
systems like yoga,
meditation, social and
spiritual healing etc
 Referral system

118
 Teaching Assessme
Time
Unit Learning Objectives Contents Learning nt
(Hrs)
Activities methods
Community health nursing  Lecture  Essay
IV 25  Describe approaches, concepts and roles and discussion type
community health responsibilities of nursing  Demonstrat  Short
Nursing personnel ion answe
approaches and  Approaches  Practice rs
concepts - Nursing theories and Nursing session
 Describe the roles process  Supervised
and responsibilities - Epidemiological approach field
of community - Problem solving approach practice
health nursing - Evidence based approach  Participatio
personnel - Empowering people to care for n in camps
themselves
● Concepts of Primary health Care:
- Equitable distribution
- Community participation
- Focus on prevention
- Use of appropriate technology
- Multi-sectoral approach
● Roles and responsibilities of
community health nursing
personnel in
○ Family health services
○ Information Education
Communication (IEC)
○ Management Information
System (MIS): Maintenance
of Records & reports
○ Training and supervision of
various categories of health
workers
○ National Health Programmes
○ Environmental sanitation
○ Maternal and child health
and Family welfare
○ Treatment of Minor ailments
○ School Health Services
○ Occupational Health
○ Organisation of clinics,
camps: Types, Preparation,
planning, conduct and
evaluation
○ Waster management in the
center, clinics etc.
● Home visit: Concept, Principles,
Process, Techniques: Bag
technique home visit
● Qualities of Community Health
Nurse
Job Description of Community health
 Behavior Change
Communication And Soft
Skills
 Integrated Disease
Surveillance Project(IDSP)
 Mother And Child Tracking
System(MCTS)
  Organization Of Labour
Room
 Safe Child Birth Check List
 Postpartum Visits By Health
Workers
 Family Planning 2020
 Food Borne Diseases
 Health Management
Information
System(HMIS)
 Electronic Medical
Records(EMR)
 Micro Birth Planning
 Adolescent
Counseling
 Sources Of Vital
Statistics

Mental Health Act,Drug De-Addiction
Programme
 Time Trends In Disease
Occurrence In Epidemiology
 Infant And Young Child Feeding
And Counseling
 Throat Problems And Febrile
Seizure In Children
 Counseling-GATHER Approach
 Postpartum Intra Uterine
Contraceptives Device(PPIUCD)
 Behavior Change
Communication And Soft Skills
 Integrated Disease Surveillance
Project(IDSP)
 Mother And Child Tracking
System(MCTS)
 Organization Of Labour Room
 Safe Child Birth Check List
 Postpartum Visits By Health
Workers
 Family Planning 2020
 Food Borne Diseases

119
 Time Learning Teaching Learning Assessment
Unit Contents
(Hrs) Objectives Activities methods
V 15  Describe Assisting individuals and groups ● Lecture ● Essay
and to promote and maintain their discussion type
appreciate health ● Demonstration ● Short
the * Empowerment for self care of ● Practice session answer
activities of individuals, families and groups in- ● Supervised field s
community practice
health nurse A. Assessment of self and family ● Individual/group
in assisting  /family/commun
individuals Monitoring growth and ity health
and groups development education
to promote  Mile stones
and  Weight measurement
maintain  Social development
their health  Temperature and Blood
pressure monitoring
 Menstrual cycle
 Breast self examination
and testicles
 Warning signs of
various diseases
 Tests: Urine for sugar and
albumin, Blood Sugar

B. Seek Health Services For

 Routine Checkup
 Immunization
 Counseling
 Diagnosis
 Treatment
 Follow Up

C. Maintenance of Health
Records for self and family

D. Continue Medical Care and

follow up in Community for
various diseases and disabilities

E. Carryout Therapeutic
Procedures as prescribed/
required for self and family

F. Waste Management

o Collection and
Disposable of waste at
home and community

120
 Teaching
Time Learning Assessment
Unit Contents Learning
(Hrs) Objectives methods
Activities
G. Sensitize and handle social issues affecting
health and development for self and family
o Women Empowerment
o Women and child abuse
o Abuse of elders
o Female Foeticide
o Commercial sex workers
o Food adulteration
o Substance abuse
H. Utilize community resources for self and
family
o Trauma serviced
o Old age homes
o Orphanage
o Homes for physically and mentally
challenged individuals
Homes for destitute

 Update Biomedical Waste

Management By Specifying
Biomedical Waste Management
Rules 2016
 Suturing Of Superficial Wounds
VI 20  Describe National health and family welfare  Lecture  Essay
national programmes and the role of a nurse discussio type
health and 1. National ARI programme n  Short
family 2. Revised National Tuberculosis Control  Participat answers
welfare Programme (RNTCP) ion in
programm 3. National Anti-Malaria programme national
es and 4. National Filaria control programme health
role of a 5. National Guinea worm eradication program
nurse programme mes
 Describe 6. National Leprosy eradication programme  Field
the 7. National AIDS control programme visits
various 8. STD control programme
health 9. National programme for control of blindness
schemes 10. Iodine deficiency disorder programme
in India 11. Expanded programme on immunization
12. National Family Welfare Programme-RCH
Programme historical development,
organization, administration, research,
constraints
13. National water supply and sanitation
programme
14. Minimum Need programme
15. National Diabetics control programme
16. Polio Eradication: Pulse Polio Programme
17. National Cancer Control programme
18. Yaws Eradication Programme
19. National Nutritional Anemia Prophylaxis
programme
20. 20 point programme
21. ICDS programme
22. Mid-day meal applied nutritional
programme
23. National mental health programme
 Health schemes

ESI

CGHS

Health insurance
 Introduction To Rashtriya Bal Sureksha
Karyakaram(RBSK)
 Programme Management Including
Supervision And Monitoring
 Investigation Of An Outbreak
 Chikungunya
 National Family Planning Programme
 New National Health Programmes
 Nutrition Across Life Cycle And
Update On National Nutritional
Programmes
 All The National Health Programmes
On Communicable ,Non
Communicable

121
 Teaching
Time Learning Assessment
Unit Contents Learning
(Hrs) Objectives methods
Activities
VII 5 Explain the roles  Health Agencies  Lecture  Essay type
and functions of International – WHO, discussion  Short
various national UNFPA, UNDP, World Bank, answers
and international FAO, UNICEF, DANIDA,
health agencies European Commission (EC),  Field visits
Red cross, USAID, UNESCO,
Colombo Plan, ILO, CARE
etc.
National – Indian Red Cross,
Indian Council for child
welfare, Family Planning
Association of India (FPAI),
Tuberculosis Association of
India, Hindu Kusht Nivaran
Sangh, Central Social Welfare
Board, All India women’s
conference, Blind Association
of India etc.

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Community Health Nursing – II- Practical
Placement: Fourth year Time: Practical – 135 hrs.
Internship – 195 hrs.

Dura-
Assessment
Areas tion (in Objectives Skills Assignments
methods
week)
Communi 1 wk for  Identify  Community health survey  Community  Assess
ty health urban community  Community diagnosis survey clinical
nursing 4wk for profile  Family care: Home adaptation report -1 performan
rural  Identify of common procedure  Family care ce with
prevalent  Home visit: Bag technique study -1 rating
communicab  Organize and conduct clinics  Project – 1 scale
le and non- antenatal, post natal, well baby  Health talk–  Evaluatio
communicab clinic, camps etc 1 n of
le diseases  Screen manage and referrals  Case book communit
 Diagnose for: recording y survey
health needs High risk mothers and report,
of neonates family
Individual, Accidents and emergencies care
families and Illnesses: Physical and mental study,
community Disabilities project
 Plan, provide  Conduct delivery at and health
and evaluate centre/home episiotomy and talk
care suturing  Completio
 Participate in  Resuscitate newborn n of
school health  School health programme activity
program  Screen, manage, refer record.
 Participate in children  Completio
national  Collaborate with health and n of case
health allied agencies book
programs  Train and Supervise health recording
 Organize workers
group for  Provide family welfare
self help and services: insertion of IUD
involve  Counsel and teach individual,
clients in family and community about:
their own HIV, TB, Diabetes,
health hypertension, Mental health,
activities adolescents, elderly’s health,
 Provide physically and mentally
family challenged individuals etc
welfare  Collect and calculate Vital
services health statistics
 Counsel and  Document and maintain
educate - Individual family and
individual, administrative records
family and - Write reports- center,
community disease, national health
 Collect Vital programme/ projects,
health
statistics
 Maintain
Record &
reports
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 Duration Assessment
Areas Objectives Skills Assignments
(in week) methods
 Collect and
Calculate Vital
health statistics
 Document and
maintain
 Individual,
family and
administrative
records.
 Write reports-
center, disease,
national health
programme/
projects,

Placement: Internship

Duration
Areas Objectives Skills Assignments
(in week)
Urban 4 weeks  Provide comprehensive  Integrated Practice and  Assess clinical
care to individual, group project – 1 in performance with
family and community each urban and urban rating scale
 Evaluation of
project

Note: During the rural posting they should stay in health centres under the supervision of teachers

124
Management of Nursing
Services and Education
Placement: Fourth year Time: Theory – 90 hrs.

Course Description: This course is designed to enable students to acquire understanding of management of
clinical and community health nursing services, nursing educational programmes. This is also designed to
enable students to acquire understanding of the professional responsibilities, prospects and contribution to the
growth of the profession.

Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objectives methods
Th. Pr. Activities
I 4  Explain the Introduction to management in  Lecture  Short
principles and nursing Discussion answers
functions of  Definition, concepts and theories  Explain
management  Functions of management using
 Principles of Management organization
 Role of Nurse as a manager chart
II 5  Describe the Management process  Lecture  Essay
elements and  Planning; mission, philosophy, Discussion type
process of objectives, operational plan  Simulated  Short
management  Staffing : philosophy, staffing Exercises answers
study, norms, activities, patient  Case studies
classification systems, scheduling
 Human resource management;
recruiting, selecting, deployment,
retaining, promoting, super
annuation etc
 Budgeting: concept, principles,
types, cost benefit analysis, audit
 Material management: equipment
and supplies
 Directing process (Leading)
 Controlling: Quality management
 Program Evaluation Review
Technique (PERT), Bench
marking, Activity Plan (Gantt
Chart),

125
 Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objectives methods
Th. Pr. Activities
III 8 20  Describe Management of Nursing  Lecture  Essay type
the services in the hospital and Discussion  Short
Manageme Community answers
nt of  Planning:  Demonstration  Assessment
nursing o Hospital and patient care  Simulated of problem
services in units including ward Exercises solving
the hospital management  Case studies exercises,
and o Emergency and disaster  Supervised  Assessment
Community management practice in of the
 Human resource management; ward-writing assignment
o Recruiting, selecting, indents, s
deployment, retaining, preparing duty  Performanc
promoting, roaster, ward e evaluation
superannuation etc supervision by ward
o Categories of nursing  Assignment of sister with
personnel including job duties and rating scale
description of all levels responsibi-
o Patient/population lities of ward
classification systems sister
o Patients/population  Writing report
assignment and Nursing
carte responsibilities
o Staff development and
welfare
 Budgeting: proposal,
projecting requirements for
staff, equipments and supplies
o Hospital and patient care
units
o Emergency and disaster
management
 Material
Management;
procurement,
inventory control,
auditing and
maintenance in
o Hospital and patient care
units
o Emergency and disaster
management
 Directing and
leading: delegation,
participatory
management
o Assignments, rotations,
delegations
o Supervision & guidance
o Implement Standards,
policies, procedures
and practices
o Staff development and
welfare
o Maintenance of
discipline
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 Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objectives methods
Th. Pr. Activities
 Controlling/ Evaluation:
o Nursing Rounds/Visits,
Nursing protocols, Manuals
o Quality Assurance Model,
documentation-
o Records and reports
Performance appraisal
 Lecture  Essay
Organizational behaviour and Discussion type
human relations  Role plays  Short
 Describe  Concepts and theories of  Group answers
the organizational behaviours games  Assess-
IV 5 concepts,  Review of Channels of  Self ment of
theories and communication assessment problem
techniques  Leadership styles  Case solving
of  Review of Motivation; concepts discussion
Organizatio and theories  Practice
nal  Group dynamics Session
behaviour  Techniques of;
and human o Communication; and
relations o Interpersonal relationships
o Human relations;
 Public relations in context of
nursing
 Relations with professional
associations and employee unions
and Collective bargaining

 Lecture  Short
In-services Education Discussion answers
 Plan &  Objectiv
 Participate  Nature & scope of in service conduct an e type
in planning education program educational  Assess
V 5 5 and  Organization of in service session for the
organizing education in service planning
in service  Principles of adult learning nursing &
education  Planning for in-service education personnel conduct
program program techniques, methods and of the
evaluation of staff education educatio
program nal
 Preparation of report session

127
 Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objectives methods
Th. Pr. Activities
VI 10  Describe Management of nursing educational  Lecture  Essay
manage- institutions Discussion type
ment  Establishment of Nursing  Role plays  Short
of nursing educational institution-INC norms  Counseling answers
educational and guidelines session
institutions  Co-ordination with:  Group
o Regulatory bodies exercises
o Accreditation
o Affiliation
- Philosophy/objectives
- Organization
o Structure
o Committees
- Physical facilities
o College/School
o Hostel
- Students
o Selection
o Admission
o Guidance and Counseling
o Maintaining discipline
- Faculty and staff
o Selection
o Recruitment
o Job description
o Placement
o Performance appraisal
o Development and Welfare
 Budgeting
 Equipments and supplies: audio
visual equipments, laboratory
equipments, books, journals etc.
 Curriculum ; Planning,
implementation and evaluation
 Clinical facilities
 Transport facilities
 Institutional Records and reports –
administrative, faculty, staff and
students
VII 10  Describe Nursing as a profession  Lecture  Short
the ethical  Nursing as a profession: Discussion answers
and legal o Philosophy, nursing practice  Case  Objective
responsibili o Aims and objectives discussion type
ties of a o Characteristics of a  Panel  Assess-
profession- professional nurse discussion ment of
nal nurse o Regulatory bodies; INC,  Role Plays critical
 Explain the SNC Acts:- Constitution,  Critical incidents
nursing functions incidents
practice o Current trends and issues in  Visit to
standards Nursing INC/SNRCs

128
 Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objectives methods
Th. Pr. Activities
 Professional ethics:
o Code of ethics:INC, ICN
o Code of Professional
conduct:INC, ICN
o Practice standards for
Nursing: INC
 Practice standards for
Nursing:INC
 Consumer protection act
 Legal Aspects in Nursing
o Legal terms related to
practice registration and
licensing
o Laws related to nursing
practice: Breach and
penalties
o Malpractice and
negligence

VIII 3  Explain the Professional Advancement:  Lecture  Short

various  Continuing education Discussion answers
opportunities  Career opportunities  Review  Group
for  Collective bargaining /Presentation work on
professional  Membership with professional of published mainten-
advancement organizations; National and articles ance of
International bulletin
 Participation in research board
activities
 Publications: Journals,
newspapers etc

129